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* Terms and conditions apply

puriyves contact lenses

Tell us about yourself

Please provide your personal information and prescription information. Your responses will be used to assess if you are suitable for our contact lenses. Our friendly customer service team will be in touch with you after successful submission of this form.

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  • YOUR PARTICULARS

  • YOUR PRESCRIPTION

  • RIGHT EYE
  • LEFT EYE
  • UPDATES & PROMOTIONS

  • TERMS & CONDITIONS

    (1) The wearer accepts full responsibility to enter the correct prescription. PuriYves lenses are designed mainly to correct spherical powers and astigmatism of up to -0.75Dc. If in doubt of your prescription, please visit an optometrist for a full prescription and eye health test. (2) The wearer confirms that he/she has worn contact lenses before and is fully aware of how to use and care for the lenses and their eyes. If in doubt, please visit an optometrist. (3) The wearer confirms that he/she is not suffering from any eye infections/diseases. If in doubt, please see an optometrist. (4) Please cease lens wear should you experience any discomfort, redness of the eyes, itching, burning sensation during lens wear. Please see an optometrist for help if the discomfort persists. (5) Disposable contact lenses are medical devices and patients are subjected to an eye examination with consultation fees. PuriYves Global Pte Ltd (Singapore) reserves the right to change any terms and conditions herein at any time without prior notice. (6) The wearer confirms that they are 18 years old and above.