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Contact Lenses: 1-DAY ACUVUE

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Contact Lenses: Sauflon New Day

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Contact Lenses: 1-DAY ACUVUE TruEye

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Contact Lenses: CibaVision Focus Dailies Basic

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Contact Lenses: CIBA VISION Air Optix Aqua

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Lens Choice & Prescription Form

Spectacles.GB |  Lens Choice & Prescription Form

Important Information Regarding your Spectacle and Glasses Purchase

Please note that when puchasing spectacles or glasses from this site with prescription lenses, Spectacles.gb (Rayleigh) Ltd, have a policy that payment will not be taken until we have received the frames and prescription lenses, only then do we take payment from you.
Reasons for this is certain frames and lenses have to be speciallly ordered in, and in some cases can take up to week or more before we receive them, bearing this in mind, we feel it is prudent to take payment once we have received them from our suppliers.

Important Prescription Information

When filling out your prescription details, the boxes below refer to your distance prescription or if you wish your reading prescription.
On NHS prescription forms your distance prescription occupy's the first line and your reading prescription the second line.We have shown the second line as a reading add at the end of the boxes shown. If you are unsure what to add here please contact us and we will advise how to fill it out.

Example as shown 1

R) +1.50 -0.50 x24 (Dist)
R) +3.00 -0.50 x24 (Reading)

L) +1.75 (Dist)
L) +3.25 (Reading)

The reading add on this particular prescription would be shown as ADD +1.50

Example as shown 2

R) -3.75 -1.50 x180 (Dist)
R) -1.00 -1.50 x180 (Reading)

L) -4.00 -0.25 x175 (Dist)
L) -1.25 -0.25 x175 (Reading)

The reading add on this particular prescription would be shown as ADD +2.75


Example as shown 3

R) -0.75 -1.50 x180 (Dist)
R) +1.25-1.50 x180 (Reading)

L) -1.00 -0.25 x175 (Dist)
L) +1.00-0.25 x175 (Reading)

The reading add on this particular prescription would be shown as ADD +2.00

Please Fill In Your Prescription Details:


Right Eye Prescription Details
SPH CYL Axis Reading Add

Left Eye Prescription Details
SPH CYL Axis Reading Add

PD (Pupil Distance)
PD    

Lens Options (Please tick one of the following boxes)
CR39 - Standard Hardcoated Lens (Free)
CR39 Hardcoated lens with tint (£15.00)
Colour    
CR39 - Transitions (£50.00)
Colour    
CR39 1.6 Hardcoated Lens (£20.00)
CR39 1.6 Hardcoated with Anti-reflective coating (£40.00)
CR39 1.6 Transitions with Anti-reflective coating (£100.00)
Colour    
CR39 1.67 with Anti-reflective coating (£60.00)
CR39 1.67 Transitions with Anti-reflective coating (£150.00)
Colour    
CR39 1.74 with Anti-reflective coating (£100.00)

Your Spectacles Are For? (Please tick one of the boxes below)
Distance
Reading

Spectacles.GB |  Lens Choice & Prescription Form