Contact Us (for Patients)

Your Name*

Your Email Address*

Your Telephone Number (Optional)

How did you hear about OcuTherm?*

Name of Eye Care Professional (Optional)

City and State of Eye Care Professional (Optional)

I am interested in the following items:
OcuTherm Essentials Kit ($98)OcuTherm Sheets ($18)OcuTherm Solution, 3.75 oz ($24)OcuTherm Dopp Kit ($48)

Message / Questions.*