Get Infab Glasses Prescription Order Form 2022-2025

The INFAB Glasses Prescription Order Form is an essential document for ordering prescription eyewear. This guide will provide you with clear, step-by-step instructions to ensure that you fill out the form accurately and efficiently online.

Follow the steps to complete your prescription order form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the company name in the designated field.
3. Provide a contact phone number where you can be reached.
4. Fill in the purchase order number to help track your order.
5. Enter the patient's name, ensuring that it is spelled correctly for processing.
6. Input the date on which you are filling out the form.
7. Complete the 'Ship to Address' section with the recipient's address.
8. Indicate the city, state, and zip code of the shipping address.
9. Select the glasses model number from the available options.
10. Specify the lead equivalency; for this form, it is .75 mm LE.
11. Choose the type of script required, such as Single Vision, Bifocal, or Bifocal Progressive.
12. Fill in the respective fields for the right and left eye parameters: Sphere, Cylinder, Axis, and Bifocal/Progressive Add.
13. Add the segment height (SH) measurement required for bifocal or progressive lenses.
14. In the PD field, enter the pupillary distance measurement; this is crucial for single vision lenses.
15. Ensure that the dispensing optician’s signature is included at the bottom of the form.
16. After completing the form, you can save any changes made, download a copy, print the form, or share it as necessary.

Complete your INFAB Glasses Prescription Order Form online today!