BioColors Form | Orion Vision Group

Orders for bioColors lenses can be submitted using the form below. This form can be used to order a pair of lenses or just a single lens. Submit a separate order for each patient. Use the TAB key to move from field to field.

Our standard Iris Size is 12.25mm. If you wish to order lenses using a differently-sized iris, please contact our Customer Service department directly, instead of using this form.

If you have any questions or need assistance with placing your order, please contact our Customer Service department at +1-866-300-6257 or via email at biocolors@orionvision.net.

Account Number*

Account Name*

Address 1*

Address 2

City*

State / Province*

Postal Code*

Country*

Ordered By*

Phone*

Email*

Purchase Order #*

Shipping Method*

Shipping address is same as billing address

Please ship directly to patient

Shipping Address 1*

Shipping Address 2

Shipping City*

Shipping State / Province*

Shipping Postal Code*

Shipping Country*

Patient Name*

First Last

Comments and Special Instructions

To submit your order, click on the Submit Order button. To start over, click on the button.