RX Verification

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RX Verification

Do you have a valid eye prescription slip or contact details from an eye doctor?

Applies to US Customers Only

According to the Fairness to Contact Lens Consumers Act (FCLCA), we need your valid prescription or eye doctor contact information to verify your eye prescription for the order.

Eight-Business-Hour Verification

According to the Contact Lenses Rule, your prescriber has eight business hours to respond. If there is no response within the required time, your prescription is verified automatically, and we can ship the order to you.

Prescription Slip

Your Name *

Date, Prescription Issued *

YYYY

Date, Prescription Expired *

YYYY

Optometrist Details

Doctor's Name *

Clinic Name *

Clinic Email *

Clinic Phone Number

Right Eye (OD) Please select your power / sphere for the Right Eye *

Left Eye (OS) Please select your power / sphere for the Left Eye *

Please confirm *

I confirm that all the information provided above is accurate and is obtained from certified doctor / optometrist. I have sufficient knowledge to handle plano lenses.

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