Personal Information
Fill in the doctor's details for your custom loupe configuration.
LED Light Configuration
Select only one LED light option and mention any light or mount preference.
Mount
Eye Measurements
Enter IPD/NPD values and eye prescription if applicable.
IPD / NPD
Eye Prescription (Optional)
Upload Images
Upload prescription or face photo to help configure your loupes.
Reference Photo for Measurement
Please upload a clear front-facing photo similar to this sample so our team can verify the IPD / face measurement correctly.
- Keep face straight and eyes clearly visible.
- Hold the ruler horizontally near eye level.
- Use bright light and avoid blurry images.
Prescription / Documents
Doctor's Face Photo
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