Optical Prescription Form

Thank you for trusting us with your eyes and RX. 


  • Please fill out this prescription form or you can upload a picture of your prescription right on the product page. We will verify your RX with your doctor and then send them to our lab for processing.


  • All optical orders require you pupillary distance. Commonly referred to as your PD. Some RXs have it written on them, but most do not. In some cases we are able to retrieve your PD from your doctor when we call to confirm your RX.


  • To help us speed up your order, please send us a picture like the one below using any credit card. We will calculate your PD from your picture. Please make certain the card is touching right under your nose and do not include your credit card numbers. Then forward the picture to customservice@velveteyewear.com and include your order number.

PD picture

  • You should receive your new glasses within 7-10 business days. If you have any questions, please give us a call 888-511-9696 Monday-Friday 10-4 East Coast time.