Use FSA funds to pay for any prescription product! 

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The amount of blue light put out by digital devices is only a fraction of the blue light we are exposed to every day from the sun.

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Dermacare Direct Cosmeceutical Skincare

Send in your frames for new prescription lenses.

Did your prescription change?  Are your lenses scratched? Send in your existing pair of glasses for new lenses.  Print this form and send it with your frames and a copy of your prescription to: 1553 11th St., West Linn, OR 97068.  We will contact you if we have any questions.


Address:  __________________________________________________________



State: ________________________________________


Phone: _______________________________________________

Email: ___________________________________________________________________


What type of lenses do you want made into the glasses?  (i.e. polycarbonate, transitions, polarized, etc.) See full list of lens options here. Or just write "call me to discuss"

Lens material: _____________________________________________

Tint or Polarized or Photochromic, etc.:______________________________________________________________________


Anything else?______________________________________________________________________

How do you want to pay? If you want to pay by Paypal, write "Paypal" and we'll send you a Paypal invoice to pay upon receipt of your glasses.

Credit card number:  ___________________________________________________________________________

Expiration date: ______________________________________________________________________________

CVC Security code:  _________________________


Include frame and a copy of your prescription and send to:  A Sight for Sport Eyes, 1553 11th, West Linn, OR 97068

Please note:  We are not responsible for frames that break during lens installation. If the frame is old and brittle, it may not be able to withstand the heating process for lens insertion.  Some frames we sold to you in the past may be covered under warranty.