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I get my lenses from NORFOLK FAMILY EYE CARE

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First Name *

Last Name *

Date of Birth*

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You can send us your prescription later by email to info@directvisioneyewear.com Upon completing your order, you will receive a reminder.

Alternatively, you can enter your prescription now.

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Last Name *

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Prescription Information

Who Is The Prescription For?

First Name *

Last Name *

Date of Birth *

When Was The Prescription Issued?

Date of Prescription *

Enter Prescription Details

Same prescription for both eyes?

Right Eye
Base Curve *
- -
- 8.4
Diameter *
- -
- 14.2
Sphere *
- -12.00
- -11.50
- -11.00
- -10.50
- -10.00
- -9.50
- -9.00
- -8.50
- -8.00
- -7.75
- -7.50
- -7.25
- -7.00
- -6.75
- -6.50
- -6.25
- -6.00
- -5.75
- -5.50
- -5.25
- -5.00
- -4.75
- -4.50
- -4.25
- -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
- -
- +0.25
- +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
- +6.50
- +7.00
- +7.50
- +8.00
Left Eye
Base Curve *
- -
- 8.4
Diameter *
- -
- 14.2
Sphere *
- -12.00
- -11.50
- -11.00
- -10.50
- -10.00
- -9.50
- -9.00
- -8.50
- -8.00
- -7.75
- -7.50
- -7.25
- -7.00
- -6.75
- -6.50
- -6.25
- -6.00
- -5.75
- -5.50
- -5.25
- -5.00
- -4.75
- -4.50
- -4.25
- -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
- -
- +0.25
- +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
- +6.50
- +7.00
- +7.50
- +8.00

Prescription Information

Who Is The prescription For?

First Name *

Last Name *

Date of Birth *

When Was The Prescription Issued?

Date of Prescription *

We Need To Verify Your Prescription

Enter Your Doctor's Details

Doctor's Name *

Doctor's Phone *

I confirm that I am over 18 and the eyesight prescription information I have provided is accurate.*

Your Prescription Details

I get my lenses from Norfolk Family Eye Care

Upload Prescription

Enter Prescription Manually

Send Later

I get my lenses from NORFOLK FAMILY EYE CARE

Send Your Contact Lens Prescription Later

Who Is The Prescription For?

Upload Prescription

Prescription Information

Who Is The Prescription For?

When Was The Prescription Issued?

Enter Prescription Details

Prescription Information

Who Is The prescription For?

When Was The Prescription Issued?

We Need To Verify Your Prescription

Enter Your Doctor's Details

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