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Patient Info
Patient Name
Frame Details
Frame Type
Edge
Yes
Polish
Yes - $5
A
B
ED
DBL
Blank Size
Base Curve
Center Thickness
Edge Thickness
Lens Details
Prescription
Right
Left
Right Options
SPH R
CYL R
AXIS R
ADD R
S.H. R
DPD R
NPD R
OC Height R
Customize Prism
Prism1 R
IN/OUT R
IN
OUT
Prism2 R
UP/DOWN R
UP
DOWN
Left Options
SPH L
CYL L
AXIS L
ADD L
S.H. L
DPD L
NPD L
OC Height L
Customize Prism
Prism1 L
IN/OUT L
IN
OUT
Prism2 L
UP/DOWN L
UP
DOWN
Special Free-Form Design (Optional)
MFH (Corridor)
Accomoda Variations
Office Reader II Ranges
UV400
Yes
Mirror Color
Tint Details
Tint
Solid - $8
Gradient - $10
Bi-color - $14
Tint 1
Grey
Brown
Sand
Rose
Blue
Green
Purple
Black
Amber
Yellow
Tint %
0
5
10
15
20
25
30
35
40
45
50
55
60
65
70
75
80
85
90
95
100
Tint 2
Grey
Brown
Sand
Rose
Blue
Green
Purple
Black
Amber
Yellow
Tint %
0
5
10
15
20
25
30
35
40
45
50
55
60
65
70
75
80
85
90
95
100
Additional Instructions
Extra Charges Cost
Extra Charges Description
Hold order, more info is coming (Tint match, base curve measurements etc.)
Rush order - $15
Update Order