US Prescription Upload*
For orders shipped to the US only. Please upload the prescription of the end user of the order in pdf, doc, docx, jpg, jpeg or png formats. We will verify the information directly with the eye care provider indicated in the uploaded file.
Name
E-mail
Order ID
*
Upload Prescription
Upload a File
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of
OR
Your Eye Care Practitioner's Information
E.g. Miami Optometry
E.g. 18008008000
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