Add your prescription information

• Send it to us later

  Don't worry, we'll send you a reminder

• Have us call your doctor

  Patient Date of Birth

  By checking this box I grant permission to my doctor to release my patient records to MOSCOT.

• Use an existing prescription

• Enter your prescription manually

  OD (Right eye) Enter your prescription for your right eye.

  OS (Left eye) Enter your prescription for your left eye.

  Pupillary Distance (PD) Your pupillary distance is the distance between your pupils, measured in millimeters.

  Name this prescription

  I am above 18 years of age and not registered blind or partially blind. The prescription I entered is current and valid and was written by my Eyecare Professional (ECP) within the last 2 years. I confirm that all of its details have been accurately provided above.

  You have up to an hour to modify your prescription after you place your order. You can modify your prescription online or by calling customer service.