Lens Order Form
Your prescription will determine the lens edge thickness. The higher your prescription, the thicker the lens edge. We offer a base lens index of 1.60 . Selecting a higher lens index allows the lenses to be thinner, keeping your frames lightweight and cosmetically more appealing.
Indicate the frame and colour for this lens order
*
E.g. Marlo Black
As per regulations set by Singapore's Optometrists and Opticians Board (OOB), online sale of prescription lenses are restricted within the range of ±6.00 (600 degrees) with up to -2.00 (200 degrees) of astigmatism.
Should your prescription fall outside of the given range, you can proceed to order the frames only first, and are not required to complete this form. Email us at support@wear-axis.com for further assistance with regards to your prescription lenses.
If your prescription is outdated / expired, you may contact our partner clinic for an eye examination.
Pupillary Distance (PD)
*
E.g. "Both Eyes 64mm" or "Right Eye: 33mm, Left Eye: 31mm"
Right Eye Prescription
Kindly select your prescription values as prescribed by your prescriber.
Right Eye Sphere Power
*
Please Select
+4.00
+3.75
+3.50
+3.25
+3.00
+2.75
+2.50
+2.25
+2.00
+1.75
+1.50
+1.25
+1.00
+0.75
+0.50
+0.25
0
-0.25
-0.50
-0.75
-1.00
-1.25
-1.50
-1.75
-2.00
-2.25
-2.50
-2.75
-3.00
-3.25
-3.50
-3.75
-4.00
-4.25
-4.50
-4.75
-5.00
-5.25
-5.50
-5.75
-6.00
E.g. "0.25" = 25 degrees, "1.00" = 100 degrees
Right Eye Cylinder Prescription
*
Please Select
None
-0.25
-0.50
-0.75
-1.00
-1.25
-1.50
-1.75
-2.00
Axis
*
Please Select
None
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164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
Left Eye Prescription
Kindly select your prescription values as prescribed by your prescriber.
Left Eye Sphere Power
*
Please Select
+4.00
+3.75
+3.50
+3.25
+3.00
+2.75
+2.50
+2.25
+2.00
+1.75
+1.50
+1.25
+1.00
+0.75
+0.50
+0.25
0
-0.25
-0.50
-0.75
-1.00
-1.25
-1.50
-1.75
-2.00
-2.25
-2.50
-2.75
-3.00
-3.25
-3.50
-3.75
-4.00
-4.25
-4.50
-4.75
-5.00
-5.25
-5.50
-5.75
-6.00
E.g. "0.25" = 25 degrees, "1.00" = 100 degrees
Left Eye Cylinder Prescription
*
Please Select
None
-0.25
-0.50
-0.75
-1.00
-1.25
-1.50
-1.75
-2.00
Axis
*
Please Select
None
1
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164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
Do you have a second frame order with prescription lenses?
*
Yes
No
Back
Next
Lens Order Form 2
Indicate the frame and colour for this lens order
*
E.g. Marlo Black
Pupillary Distance (PD)
*
E.g. "Both Eyes 64cm" or "Right Eye: 33mm, Left Eye: 31mm"
Right Eye Prescription
Kindly select your prescription values as prescribed by your prescriber.
Right Eye Sphere Power
*
Please Select
+4.00
+3.75
+3.50
+3.25
+3.00
+2.75
+2.50
+2.25
+2.00
+1.75
+1.50
+1.25
+1.00
+0.75
+0.50
+0.25
0
-0.25
-0.50
-0.75
-1.00
-1.25
-1.50
-1.75
-2.00
-2.25
-2.50
-2.75
-3.00
-3.25
-3.50
-3.75
-4.00
-4.25
-4.50
-4.75
-5.00
-5.25
-5.50
-5.75
-6.00
E.g. "0.25" = 25 degrees, "1.00" = 100 degrees
Right Eye Cylinder Prescription
*
Please Select
None
-0.25
-0.50
-0.75
-1.00
-1.25
-1.50
-1.75
-2.00
Axis
*
Please Select
None
1
2
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151
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154
155
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157
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159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
Left Eye Prescription
Kindly select your prescription values as prescribed by your prescriber.
Left Eye Sphere Power
*
Please Select
+4.00
+3.75
+3.50
+3.25
+3.00
+2.75
+2.50
+2.25
+2.00
+1.75
+1.50
+1.25
+1.00
+0.75
+0.50
+0.25
0
-0.25
-0.50
-0.75
-1.00
-1.25
-1.50
-1.75
-2.00
-2.25
-2.50
-2.75
-3.00
-3.25
-3.50
-3.75
-4.00
-4.25
-4.50
-4.75
-5.00
-5.25
-5.50
-5.75
-6.00
E.g. "0.25" = 25 degrees, "1.00" = 100 degrees
Left Eye Cylinder Prescription
*
Please Select
None
-0.25
-0.50
-0.75
-1.00
-1.25
-1.50
-1.75
-2.00
Axis
*
Please Select
None
1
2
3
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154
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159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
Do you have a third frame order with prescription lenses?
*
Yes
No
Back
Next
Lens Order Form 3
Indicate the frame and colour for this lens order
*
E.g. Marlo Black
Pupillary Distance (PD)
*
E.g. "Both Eyes 64mm" or "Right Eye: 33mm Left Eye: 31mm"
Right Eye Prescription
Kindly select your prescription values as prescribed by your prescriber.
Right Eye Sphere Power
*
Please Select
+4.00
+3.75
+3.50
+3.25
+3.00
+2.75
+2.50
+2.25
+2.00
+1.75
+1.50
+1.25
+1.00
+0.75
+0.50
+0.25
0
-0.25
-0.50
-0.75
-1.00
-1.25
-1.50
-1.75
-2.00
-2.25
-2.50
-2.75
-3.00
-3.25
-3.50
-3.75
-4.00
-4.25
-4.50
-4.75
-5.00
-5.25
-5.50
-5.75
-6.00
E.g. "0.25" = 25 degrees, "1.00" = 100 degrees
Right Eye Cylinder Prescription
*
Please Select
None
-0.25
-0.50
-0.75
-1.00
-1.25
-1.50
-1.75
-2.00
Axis
*
Please Select
None
1
2
3
4
5
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7
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9
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147
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149
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151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
Left Eye Prescription
Kindly select your prescription values as prescribed by your prescriber.
Left Eye Sphere Power
*
Please Select
+4.00
+3.75
+3.50
+3.25
+3.00
+2.75
+2.50
+2.25
+2.00
+1.75
+1.50
+1.25
+1.00
+0.75
+0.50
+0.25
0
-0.25
-0.50
-0.75
-1.00
-1.25
-1.50
-1.75
-2.00
-2.25
-2.50
-2.75
-3.00
-3.25
-3.50
-3.75
-4.00
-4.25
-4.50
-4.75
-5.00
-5.25
-5.50
-5.75
-6.00
E.g. "0.25" = 25 degrees, "1.00" = 100 degrees
Left Eye Cylinder Prescription
*
Please Select
None
-0.25
-0.50
-0.75
-1.00
-1.25
-1.50
-1.75
-2.00
Axis
*
Please Select
None
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
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180
Back
Next
Prescription Verification Form
Before processing your order successfully, we will need to obtain a copy of your existing glasses prescription.
Name
*
First Name
Last Name
Email
*
example@example.com
Date of Prescription
*
-
Month
-
Day
Year
Date
For verification purposes, please upload a copy of your prescription here and we will assist you with your order.
*
Upload an image file (jpg, jpeg, png) or PDF file
Drag and drop files here
Choose a file
This allows us to crosscheck that you have entered your prescription correctly. If your prescription is outside the 1 year validity window, we are unable to proceed with your order and will reach out to you again.
Cancel
of
I agree to be contacted by a team member of wear-axis.com if my prescription provided is incomplete or requires further verification.
*
Yes
I understand that the lenses will be made according to the prescription I have provided. As the prescription is not provided by wear-axis.com, I understand that there will be no replacement or refund of lenses should the vision be unclear or uncomfortable.
*
Yes
Is the second frame with prescription lenses for the same person above?
Yes
No
Once you have clicked submit, you will be redirected back to your cart. Kindly proceed to make payment then.
Submit
Form 2
Prescription Verification Form 2
For the second frame with prescription lenses
Name
*
First Name
Last Name
Email
example@example.com
Date of Prescription
*
-
Month
-
Day
Year
Date
For verification purposes, please upload a copy of your prescription here and we will assist you with your order.
*
Upload an image file (jpg, jpeg, png) or PDF file
Drag and drop files here
Choose a file
This allows us to crosscheck that you have entered your prescription correctly. If your prescription is outside the 1 year validity window, we are unable to proceed with your order and will reach out to you again.
Cancel
of
I agree to be contacted by a team member of wear-axis.com if my prescription provided is incomplete or requires further verification.
*
Yes
I understand that the lenses will be made according to the prescription I have provided. As the prescription is not provided by wear-axis.com, I understand that there will be no replacement or refund of lenses should the vision be unclear or uncomfortable.
*
Yes
Is the third frame with prescription lenses for the same person above?
Yes
No
Once you have clicked submit, you will be redirected back to your cart. Kindly proceed to make payment then.
Submit
Form 3
Prescription Verification Form 3
For the third frame with prescription lenses
Name
*
First Name
Last Name
Email
example@example.com
Date of Prescription
*
-
Month
-
Day
Year
Date
For verification purposes, please upload a copy of your prescription here and we will assist you with your order.
*
Upload an image file (jpg, jpeg, png) or PDF file
Drag and drop files here
Choose a file
This allows us to crosscheck that you have entered your prescription correctly. If your prescription is outside the 1 year validity window, we are unable to proceed with your order and will reach out to you again.
Cancel
of
I agree to be contacted by a team member of wear-axis.com if my prescription provided is incomplete or requires further verification.
*
Yes
I understand that the lenses will be made according to the prescription I have provided. As the prescription is not provided by wear-axis.com, I understand that there will be no replacement or refund of lenses should the vision be unclear or uncomfortable.
*
Yes
Once you have clicked submit, you will be redirected back to your cart. Kindly proceed to make payment then.
Submit
Should be Empty: