Air Optix® Aqua Multifocal

Air Optix

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Right eye (OD)

1 box
Left eye (OS)

1 box

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Existing Patient

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your prescription
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this will be saved for future use
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Send Later

Email us a copy of your prescription after placing your order

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Existing patient?

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Who is the
prescription for? *

First Name

Last Name

Date of Birth

Select the practice where you had your contact lens prescription

Practice location *

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Send your contact lens prescription later

You can send us your prescription later by email to eyecare@eyepiecesplano.com
Upon completing your order, you will receive a reminder.
Alternatively, you can enter your prescription now.

Who is the
prescription for? *

First Name

Last Name

Upload your contact lens prescription

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Prescription *

Take a photo of your paper prescription

Upload Prescription Allowed Types (PDF, PNG, JPEG, JPG)

Prescription uploaded Details will be added to your order after checkout.

Who is the
prescription for? *

First Name

Last Name

Enter your contact lens prescription

Right Eye (OD)
Sphere
- -10.00
- -9.75
- -9.50
- -9.25
- -9.00
- -8.75
- -8.50
- -8.25
- -8.00
- -7.75
- -7.50
- -7.25
- -7.00
- -6.75
- -6.50
- -6.25
- -6.00
- -5.50
- -5.00
- -4.50
- -4.00
- -3.50
- -3.00
- -2.50
- -2.00
- -1.50
- -1.00
- -0.50
- 0.00
- -
- +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
Basecurve
- -
- 8.6
Diameter
- -
- 14.2
Addition
- -
- High
- Low
- Medium
Left Eye (OS)
Sphere
- -10.00
- -9.75
- -9.50
- -9.25
- -9.00
- -8.75
- -8.50
- -8.25
- -8.00
- -7.75
- -7.50
- -7.25
- -7.00
- -6.75
- -6.50
- -6.25
- -6.00
- -5.50
- -5.00
- -4.50
- -4.00
- -3.50
- -3.00
- -2.50
- -2.00
- -1.50
- -1.00
- -0.50
- 0.00
- -
- +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
Basecurve
- -
- 8.6
Diameter
- -
- 14.2
Addition
- -
- High
- Low
- Medium

Who is the
prescription for? *

First Name

Last Name

We need to verify your prescription

Verification
method *

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within the expiry period

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details *

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Doctor Telephone * This field is required
Doctor Address * This field is required
Your date of birth * This field is required

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Prescription *

Take a photo of your paper prescription

Upload Prescription Allowed Types (PDF, PNG, JPEG, JPG)

Prescription uploaded Details will be added to your order after checkout.

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Air Optix® Aqua Multifocal

How will you provide your contact lens prescription?

Existing Patient

Enter Prescription Now

Upload Prescription

Send Later

Existing patient?

Who is the prescription for? *

Practice location *

Send your contact lens prescription later

Who is the prescription for? *

Upload your contact lens prescription

Upload Prescription *

Prescription uploaded Details will be added to your order after checkout.

Who is the prescription for? *

Enter your contact lens prescription

Who is the prescription for? *

We need to verify your prescription

Verification method *

Doctor details *

Upload Prescription *

Prescription uploaded Details will be added to your order after checkout.

Air Optix® Aqua Multifocal

Delivery & Returns

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prescription for? *

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prescription for? *

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Prescription *

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prescription for? *

Who is the
prescription for? *

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method *

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details *

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Prescription *