Get Single Vision Trial Lens Order Form - Bausch + Lomb

Filling out the Single Vision Trial Lens Order Form from Bausch + Lomb online is a straightforward process that helps ensure you receive the correct prescription lenses. This guide provides step-by-step instructions to assist you in completing the form accurately and efficiently.

Follow the steps to complete your lens order form online.

1. Click ‘Get Form’ button to obtain the form and open it in your editor.
2. Begin by entering your account number in the designated field. If you do not have an account number, you may need to consult with your supplier for assistance.
3. Next, fill in the date of the order in the specified format, ensuring that it is clearly readable.
4. Provide the account name and phone number. Accurate information will help in processing your order without delays.
5. Enter the fax number if you require a confirmation of your order being placed. This will facilitate smoother communication.
6. Select the relevant state from the drop-down menu to verify your location.
7. In the section for lens selection, choose the desired lens type, which may include Soflens, Biotrue, or PureVision, based on your preference.
8. Indicate the required powers for the lenses, using either the MINUS or PLUS columns as applicable. Be precise to ensure proper lens strength.
9. If applicable, complete any additional fields related to shipping, such as overnight shipping options.
10. Once all the necessary information is filled out, review the form for accuracy.
11. Finally, you can choose to save your changes, download a copy, print, or share the completed form as needed.

Take action today and complete your Single Vision Trial Lens Order Form online for efficient processing.