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LUNELLE
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NightFlex New Order Form
Company Name*
Customer code*
Name of the fitter*
E-Mail-Addresse for requests*
Patient reference*
Order Number
RIGHT Eye
SPH
CYL
Axe
ADD
DVO
K flat
K steep
Axis Kflat
Ecc average
Cornea diameter
If only mean values for eccentricity are available, please insert the same value in both fields.
LEFT Eye
SPH
CYL
Achse
ADD
DVO
K flat
K steep
Axis Kflat
Ecc average
Cornea diameter
CONTACT LENS
Variant Right
Myopia
Relax
Hyperopia
Myopia for presbyopia
Variant Left
Myopia
Relax
Hyperopia
Myopia for presbyopia
Back surface design Right
SwissLens Choice
Spherical back surface
Periphertoric back surface
Back surface design Left
SwissLens Choice
Spherical back surface
Periphertoric back surface
Material choice Right
Boston XO green
Boston XO blue
Boston XO violette
Boston XO red
Material choice Left
Boston XO blue
Boston XO green
Boston XO violette
Boston XO red
Exchange options
With return
Without return
Urgent order
no
yes
Only for RELAX Myopia Management:
Pupil diameter Right
Pupil diameter Left
Age of Patient
Additional Information
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Key
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