Get Product Return Form - Acuvue

Filling out the Product Return Form for ACUVUE can streamline the return process for users seeking refunds on their products. This guide will provide you with a clear, step-by-step approach to completing the form accurately and efficiently.

Follow the steps to successfully complete the Product Return Form.

1. Click the 'Get Form' button to access the Product Return Form. This action will allow you to open the document for editing.
2. Begin by entering the required patient information. Fill in the first name, last name, order number, address, city, state, phone number, zip code, and email address. Ensure that all mandatory fields, marked with an asterisk (*), are completed.
3. Indicate if the product is unopened by selecting 'Yes.' If the product is unopened and undamaged, it qualifies for a return. Review the instructions provided for returning the product.
4. In the return information section, check the relevant product and base curve being returned, then enter the patient’s prescription for each selected item in the corresponding line.
5. Specify the total number of boxes being returned in the provided space.
6. Ensure to read and understand the refund policy related to the returned items. Make sure all items comply with the VISTAKON® return policy standards.
7. Sign and date the form in the practice representative section and print your name along with your title.
8. Once all sections are completed, save the changes to the form. You may then download, print, or share the document as needed.

Complete your Product Return Form online for a smooth return process.