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Insta Rx

Insta Rx was created so that a patient's prescription information can be entered into the submission form below. The EyeGlassLenses.com professionals then provide recommendations on the best choice of lens and materials to better suit the patient's needs.

Please Remember to provide as much detail as possible:

Please list what you are looking for in terms of a recommendation, we will then provide you what in our opinion is the best choice.

Are you looking for the thinnest lens or the best progressive given seg height, and frame dimension.

Don't forget to tell us the frame you have chosen and provide us with the current eyewear measurements, if available.

Please fill out the form below, we will analyze your request and provide a recommendation:

First Name: * 
Last Name: * 
Street Address: * 
City: * 
State: *    Other 
Country: * 
Zip: * 
Email: * 

 

        Rx Prism OD/DECENTRATION
  Sphere Cyl Axis Hor. Vert Dist. Near Total
R  
L  
                 
  Style
SEG.Size
Base ADD Color Lens
Material
SEG
Height
SEG
Drop
Special
O.C.LOC
R  
L  

Please Include The Following:

Type of Bifocal or Progressive Lens

Special Instructions

  Frame Information
  A B ED D.BL
 

 
What is your main objective for this patient? Thickness
Widest Reading Area
Least Amount of Distortion
Other (Please Specify):

Please make sure all information is given to insure the maximum informative benefits for your patient.

By submitting this information you agree to understand that EyeGlassLenses.com is a non-partial portal for strictly Eye Glass Lenses and states only representative opinions regarding Eye glass lens products by the staff of EyeGlassLenses.com and suggests no actual warrantees or facts either stated or implied.

 
 
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EyeGlassLenses.com takes an active role in educating ECP's and consumers alike. This knowledge section is a constantly updated and refined resource of vision related information.



Product #1: Varilux
More information about our new line of Varilux Lenses and important information for ECP's

Product #2: Transitions
A Guide to choosing the right lenses for your customers


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