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How to use or fill out PRESCRIPTION FORM - ZZ medical with our platform
- Click ‘Get Form’ to open the PRESCRIPTION FORM - ZZ medical in the editor.
- Begin by entering the CUSTOMER NAME and ORDER NUMBER in the designated fields at the top of the form.
- Select the type of prescription you are submitting by checking one of the three boxes: SINGLE VISION, BIFOCAL, or PROGRESSIVE.
- For SINGLE VISION prescriptions, fill in the SPHERE, CYLINDER, AXIS, and PRISM BASE for both OD (Right Eye) and OS (Left Eye). Ensure to include PUPILARY DISTANCE as well.
- If applicable, for BIFOCAL or PROGRESSIVE prescriptions, provide additional details such as ADD BIFOCAL POWER along with other required information.
- Verify that all Rx information is current for the year before finalizing your submission.
- Once completed, fax the form to 319-277-3998 or email it to orders@zzmedical.com directly from our platform.
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