Upload Prescription

Upload Your Prescription

Use this secure page to upload your eyeglass prescription for your order. Please include a clear copy of your valid prescription along with your pupillary distance (PD), if available. If you have any questions or need assistance, contact RDME5 Eyewear for personalized guidance from a licensed optician.

• Upload a clear photo or scanned copy of your valid eyeglass prescription.
• Include your full name and date of birth.
• Include your pupillary distance (PD), if available.
• Ensure your prescription is current and has not expired.
• To ensure accuracy, RDME5 Eyewear may contact your eye care provider to verify your prescription when necessary.

Order Request Form

Name

First

Last

Date of Birth

MM/DD/YYYY

Phone number

Address

Address Line 1

Address Line 2

City

State

Zip Code

How we can help?

Message / Order Details

Please include any frame, lens, prescription, or appointment details you would like us to review.

Email Order Contact

Upload Prescription (RX)

Drag & Drop Files, Choose Files to Upload You can upload up to 2 files.

Accepted file types: PDF, JPG, JPEG, and PNG. Maximum file size: 10 MB. Please make sure the image is clear and readable Please check prescription confirmation before uploading.

Prescription Confirmation

Prescription Confirmation

“I confirm and acknowledge that the prescription information I submitted is current, complete, and accurate to the best of my knowledge.”

Preferred Contact Method

Email
Phone
Text message

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