FPL v2 – Prescription Form

Please fill out the following so we can quote your lenses:

Order Process

  • Fill out this prescription form and send it.
  • We will check the plausability of your values, calculate the price and send you a Paypal money request.
  • If you feel comfortable with the price and have no further questions or concerns, then please pay. No problem for us if you cancel or just ignore the request. We read the shipment address out of your Paypal account. Please update your address there before the payment.
  • Once paid we start to manufacture your lenses. Depending on the lens this may take 2 to 6 days.
  • We ship the lens and send you a shipment confirmation with the tracking ID by e-mail. ETA for Germany is 2 days, for Europe 5 days, North and South America 7 days, Middle East and Asia 10 days, Australia 20 days. Also depending on the customs clearance.

Abbreviations and Notes:

  • sph: sphere. Given in steps of 0.25 diopters.
  • cyl: cylinder. To correct astigmatism. Given in steps of 0.25 diopters.
  • ax: cylinder axis from 0° to 180°. (That's in TABO notation, which is used in 99.9% of all prescriptions all over the world.)
  • PD: pupil distance. From 20 to 40 millimeter. Default value is 32 mm.

Contact Information
Right Eye (OD)
Left Eye (OS)
Pupillary Distance (PD)

If there is no pupil distance (PD) given on your prescription, then please ask your optician for that or measure it by your own: https://www.wikihow.com/Measure-Your-Interpupillary-Distance

Error: Please select Your PD value!
Error: Please select Your PD value!
Error: Please select Your PD value!
Prism
Right Eye (OD)
Left Eye (OS)
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