Prescription Input - Focus Eye Care & Optical Lab GLASSES PRESCRIPTION FORM Focus Eye Care & Optical Lab - Elko, Nevada Patient Information First Name * Last Name * Date of Birth * Email Address Prescription Details How to read your prescription: Your prescription should include values for Sphere (SPH), Cylinder (CYL), Axis, and may include Add power for reading. Right Eye (OD) Sphere (SPH) * Range: -20.00 to +20.00 Cylinder (CYL) Leave blank if none Axis Required if CYL is present (1-180) Add Power For reading/bifocals Left Eye (OS) Sphere (SPH) * Range: -20.00 to +20.00 Cylinder (CYL) Leave blank if none Axis Required if CYL is present (1-180) Add Power For reading/bifocals Prescription Date Date of your eye exam Additional Information Special Instructions or Notes Submit Prescription Take Photo or Upload Prescription Take a Photo or Upload Your Voucher Questions? Call us at (775) 738-6727 PROCEED TO PUPIL MEASUREMENT CHOOSE LENS AND FRAME
