Get OcuVend!

Ready for an OcuVend Kiosk in your clinic? Good choice, nothing is better for your practice than a fantastic patient experience (and the extra revenue doesn’t hurt either.)

We have several different models to choose from based on your practice size and patient volume. Filling out the form below will help us recommend which model would fit best within your practice and budget.

If you would like OcuVend in your practice, fill out the form below and we will reach out within 24 hours!

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Practice Name *

What is the name of your practice/clinic?

Primary Location Address *

What is your primary office address?

Number of Locations *

How many locations do you want OcuVend in?

Practice Type *Please Choose OneOphthalmology Single ProviderOphthalmology Multiple ProvidersOptometry Single ProviderOptometry Multiple ProvidersM.D./O.D. mixRetail Optical (if not associated with eye care providerGeneral/Family Medicine PractitionerPediatricsUrgent CareOther (please specify)

What type of practice is this? If other, please specify below

Other – Specify

If you selected other, please specify here

What are you interested in? *Please Choose OneI want to purchase!I just want you to send it to me!Not sure yet

How will you supply products? *Please Choose OneI want OcuVend to supplyI will supply my own productsNot sure yet

How many patients a day? *

How many people a day visit your location?

Contact Name *

Who is the contact in your practice

Contact Email *

Contact email

Contact Phone Number *

Contact Number

Comment or Message

Anything else we should know?

Submit