- The form below allows you to input your prescription for distance, intermediate (Computer) or near/reading glasses.
- Just choose the relevant line for your needs. We would like to know everything on your prescription including any + or - signs.
- You can use the extra info box to tell us anything else that you think is relevant to your order.
Not sure about how to enter your prescription? Don't worry.... - If you would prefer, you can leave the prescription area blank and...
- Send us a copy of your prescription via email, fax (0845 017 9027 local call rate) or post once you have placed your order.
- Just include your order number and we will do the rest!
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RIGHT EYE | VISION | LEFT EYE |
| | | << DISTANCE >> GLASSES | | | |
| | | INTERMEDIATE << GLASSES >> E.G. COMPUTER SCREEN | | | |
| | | << NEAR >> | | | |
| | | << ADDITION >> READING OR INTERMEDIATE | | |
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