℞ Prescription Form

Ordering your Scheyden eyeglasses as a prescription is easy. Simply either upload a photocopy of your prescription below, OR enter the name and phone number of your optometrist so we can acquire your prescription from them.

How do I order multiple prescriptions?


Who Is This Prescription For?


Prescription Upload

Upload a photocopy of your prescription here:


Alternative - Enter Your Optometrist Information

Don't have a photocopy of your prescription? Enter the contact information for your optometrist below.