| Prescription Details
Are your glasses for Distance, Reading or Both?
Frame Only (please select colour/size below)
Distance
Near (Reading)
Distance & Near (ECO Entry Level Varifocals) - Add £75.00
Distance & Near (Varilux Liberty Varifocals) - Add £120.00 click here to find out about Varilux Liberty
Distance & Near (Varilux Comfort New Edition Varifocals) - Add £155.00 click here to find out about Varilux Comfort New Edition
Distance & Near (Varilux Physio 2.0 Varifocals) - Add £195.00 click here to find out about Varilux Physio 2.0
|
| |
Prescription Measurements
Please note that a minus or plus sign for Sphere and Cylinder may appear either to the left or above the measurement on your prescription.
If in doubt please fax, phone, or email your prescription to us. |
*You must select high index lenses if your prescription contains a Sphere power greater than -6.00 (see below)
**If your prescription has only one ADD measurement, please select the same ADD measurement for both Right and Left Eyes
Please contact us if your prescription contains a Prism or Base measurement |
| | | | |
| | | | |
| Pupillary Distance (PD)
This is the distance between your pupils. Please ask your optician to measure this distance for you.
If you have two PD measurements, one for each eye (known as Mono PDs), rather than a single PD measurement, please enter these here.
|
| Right Mono PD
| Left Mono PD
| | |
| | | | |
Please tick if you will send a copy of your prescription to us. This can be done by phone, fax, or email.
|
| | | | |
Date of Last Prescription
(Your prescription must be less than 2 years old.) |
| Day
| Month
| Year
| |
| | | | |
| NHS Vouchers
No NHS Voucher
Voucher type:A (Value = £32.90)
Voucher type:B (Value = £50.00)
Please complete both sides of your NHS voucher and send the original to us at the address below. We will send your glasses, and debit your card (less voucher value) when we receive your voucher. |
| |
| Frame Colour
black/grey - T01 navy/grey - T02 brown/grey - T03 chilli red/grey - T11
|
| |
Please tick if you would you like to trial this frame prior to purchase. A non-refundable charge of £10 is made to cover postage, packaging and handling. We take a deposit equal to the price of your glasses at checkout which is fully refundable in the event that you decide not to purchase.
|
| |
| Varifocal Lenses
To ensure optimum fit of varifocal glasses we need to take lens height measurements. Please select the practice you would prefer to visit and we will contact you within one working day to arrange an appointment.
No Varifocal Lenses - Single Vision Only
Oxford (East)
West London (Shepherd's Bush)
|
| |
| NETQUOTEVAR:VARIANTLABEL21 NETQUOTEVAR:VARIANTSELECTOR21 |
| |
| NETQUOTEVAR:VARIANTLABEL22 NETQUOTEVAR:VARIANTSELECTOR22 |
| | | | |
| | | |
