Patient’s Prescription Eyewear Production Waiver
Thank you for choosing Overnight Glasses for your lens replacement.
We have inspected your provided eyewear and found that it has a significant risk for breakage. We recommend picking a new frame or provide us with a frame that will be more suitable for new prescription production.
PLEASE NOTE Working on your provided frame inhabits a risk of breaking or damaging it beyond repair. If you do wish us to continue and work on your provided frame, we require to fill and send this form.
By Sending this from:
1. I have selected to proceed and use the provided frame and understand this frame have an increased risk of being damaged beyond repair during the prescription production process.
2. Overnight Glasses will do its absolutely best and work as delicately as possible on your provided frame but will not held responsible if this frame breaks or damaged.