Prescription Details Are your glasses for Distance, Reading or Both? Distance Near (Reading) Distance & Near (Varifocals - Add £75.00) 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. Prescription Measurements Please enter the measurements on your Prescription *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. Select 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 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 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Month January February March April May June July August September October November December
Year 2009 2010 2011 2012 2013 2014 2015
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 blue - T8Y
Lens Size The lenses for this frame come in two sizes. Please select the size you require (measured in mm across the lens) 53mm 55mm Please select your choice of lenses and coatings from the following: Lens Coatings Crizal Easy is a superior anti-glare, anti-scratch coating. Crizal/Alize+ is tougher and easier to clean. The premium Crizal Forte with Scotchguard repels water, dust & dirt & is guaranteed "no-scratch" for 2 years. Standard Anti-Reflection Scratch-Resistant Coating (FREE) Crizal Easy superior anti-glare, anti-scratch + FREE lens upgrade (Add £10.00) Crizal/Alize+, tough, easy clean + FREE lens upgrade (Add £20.00) Crizal Forte with Scotchguard, toughest, dirt/moisture repellent + FREE lens upgrade (Add £30.00) Please Note: You will receive a FREE lens upgrade with any of the above coatings for all clear standard, thinner, and extra thin lenses. Our 1.74 index ultra thin lenses come with FREE Crizal Forte coating with Scotchguard
Lens Options We offer lighter & thinner lenses including 1.61, 1.67, & 1.74 high index lenses (the higher the index the thinner the lens). Photochromic lenses darken to around 70% in direct sunlight & 5% in shade. Clear Lenses Std. Lenses (Free) 1.59 Thinner Lenses (Add £27.00)* 1.67 Extra Thin Lenses (Add £42.00)* 1.74 Ultra Thin Lenses with FREE Crizal Forte Coating with Scotchguard Protector (Add £108.00)* Photochromic Lenses Standard Grey Photochromic Lenses with FREE Crizal/Alize Coating (Add £49.00) 1.59 Thinner Grey Photochromic Lenses with FREE Crizal/Alize Coating (Add £88.50)* 1.67 Extra Thin Grey Photochromic Lenses with FREE Crizal/Alize Coating (Add £126.00)* Standard Brown Photochromic Lenses with FREE Crizal/Alize Coating (Add £49.00) 1.59 Thinner Brown Photochromic Lenses with FREE Crizal/Alize Coating (Add £88.50)* 1.67 Extra Thin Brown Photochromic Lenses with FREE Crizal/Alize Coating (Add £126.00)* Please contact us for advice on lens options. *Please Note: Prices for thinner varifocals and our full range of VARILUX lenses available on request.
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. Varifocal Lenses No Varifocal Lenses - Single Vision Only Oxford (East) West London (Shepherd's Bush)