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Generic Application Error Test JSP (Item)

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Product {{items[currentItemId].itemIndex}} / {{setupItemsLength}}

Prescription verification

Order number: #{{params.orderId}}
Order date:{{params.orderDate}}
In order to process your order, federal law requires us to verify your prescription with your doctor. You can add the details here, or skip this part for now and share the information after checkout. Your order will be automatically canceled if you don't upload your prescription within 10 days.
Before submitting your prescription, please check that it's up to date and make sure the numbers you entered are correct. Your order will be automatically canceled if you don't upload your prescription within 10 days. It must be the same doctor that issued and signed your prescription.
We'll call them to verify your details.

Choose how to submit your prescription

Have us call your doctor

Step 1 - Patient Information
(First and last name written on prescription)

The first name field cannot be empty. Please enter letters only
The last name field cannot be empty. Please enter letters only
Please insert a valid date
You need to add the missing information
Doctor name
Phone number
{{(items[currentItemId].prescriptionData.chosenDoctor.doctorAddress != undefined && items[currentItemId].prescriptionData.chosenDoctor.doctorAddress.address1 != '-') ? 'Address' : ''}}
{{items[currentItemId].prescriptionData.chosenDoctor.doctorName}}
Wrong Doctor?
{{items[currentItemId].prescriptionData.chosenDoctor.doctorPhoneNumber}}
{{items[currentItemId].prescriptionData.chosenDoctor.doctorAddress.address1}}
{{items[currentItemId].prescriptionData.chosenDoctor.doctorAddress.city}}, {{items[currentItemId].prescriptionData.chosenDoctor.doctorAddress.stateProvince}} {{items[currentItemId].prescriptionData.chosenDoctor.doctorAddress.zipPostalCode}}
Phone: {{items[currentItemId].prescriptionData.chosenDoctor.doctorOfficeNumber}}
Fax: {{items[currentItemId].prescriptionData.chosenDoctor.doctorFaxNumber}}
Change submission method
PRESCRIPTION UPLOADED {{errors.uploadError.msg}} ???CHANGE_SENDING_METHOD???
{{errors.uploadError.subMsg}}
???CHANGE_SENDING_METHOD???

STEP 2 - Add your doctor's details
(First and last name written on prescription)

FIND YOUR DOCTOR
{{errors.missingDoctorData.msg}}
Please tick to continue

Step 3 - Choose how to submit your prescription

How do I know if my prescription is valid?
Before submitting your prescription, please check the expiration date to make sure it's still valid. Also, check that the brand and values of your prescription match the ones of your order.
File size should not exceed 1 MB and should be in one of these formats: png, gif, jpeg, tiff, bmp, word, docx, pdf, IWork pages.
{{errors.uploadError.msg}} {{errors.uploadError.subMsg}}
{{errors.uploadNoFileUploadedError.msg}}

Please note: order processing time may be extended.

Do you know your pupillary distance?

Adding it is recommended because it helps us optimize your lenses.

{{errors.missingPrescriptionData.msg}}
{{errors.submitPrescriptionError.msg}}
*A requirement of Federal Law

Search your eye doctor by

Doctor phone number
Clinic or Doctor name
City
State
Didn't find your doctor? Add manually
Doctor name
Clinic name
Address
{{doctor.doctorName}}
{{doctor.officeName}}
{{doctor.doctorAddress.address1}}
{{doctor.doctorAddress.city}}, {{doctor.doctorAddress.stateProvince}} {{doctor.doctorAddress.zipPostalCode}}
Phone: {{doctor.doctorPhoneNumber | formatPhoneNumber : '()'}}
Fax: {{doctor.doctorFaxNumber | formatPhoneNumber : '()'}}
Doctor name
Clinic name
Address
{{doctor.doctorName}}
{{doctor.officeName}}
{{doctor.doctorAddress.address1}}
{{doctor.doctorAddress.city}}, {{doctor.doctorAddress.stateProvince}} {{doctor.doctorAddress.zipPostalCode}}
Phone: {{doctor.doctorPhoneNumber | formatPhoneNumber : '()'}}
Fax: {{doctor.doctorFaxNumber | formatPhoneNumber : '()'}}

Add new doctor

Back to Search Doctor
Clinic or Doctor name
Doctor phone number
Oops! You need to add the missing information
How to measure your pupillary distance
Grab a small ruler in one hand, look straight ahead into a mirror and position the ruler over the bridge of your nose.
Starting with the right eye, line up the zero end of the ruler at your pupil; measure the distance from your right to your left pupil. The millimeter number that lines up with your left pupil is the measurement of your pupillary distance.

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