BioColors FormOrders 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 2City*State / Province*Postal Code*Country*AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweOrdered By*Phone*Email* Purchase Order #*Shipping Method*-USPSFedEx GroundFedEx 2nd DayFedEx OvernightShipping address is same as billing address Please ship directly to patient Shipping Address 1*Shipping Address 2Shipping City*Shipping State / Province*Shipping Postal Code*Shipping Country*AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwePatient Name* First Last Ordering OD lens disabled since OS lens was selected.Check this box to order a single OD lens OD Lens Type*-Cosmetic - SphereCosmetic - ToricProsthetic - SphereProsthetic - ToricOD Lens Material*-Methafilcon 55%Polymacon 38%OD Base Curve*7.87.98.08.18.28.38.48.58.68.78.88.99.09.19.2Standard base curve size is 8.6.OD Diameter*13.513.613.713.813.914.014.114.214.314.414.514.614.714.814.915.015.115.215.315.415.515.615.715.815.916.0Standard diameter size is 14.5.OD Sphere+20.00+19.75+19.50+19.25+19.00+18.75+18.50+18.25+18.00+17.75+17.50+17.25+17.00+16.75+16.50+16.25+16.00+15.75+15.50+15.25+15.00+14.75+14.50+14.25+14.00+13.75+13.50+13.25+13.00+12.75+12.50+12.25+12.00+11.75+11.50+11.25+11.00+10.75+10.50+10.25+10.00+9.75+9.50+9.25+9.00+8.75+8.50+8.25+8.00+7.75+7.50+7.25+7.00+6.75+6.50+6.25+6.00+5.75+5.50+5.25+5.00+4.75+4.50+4.25+4.00+3.75+3.50+3.25+3.00+2.75+2.50+2.25+2.00+1.75+1.50+1.25+1.00+0.75+0.50+0.25+0.00-0.25-0.50-0.75-1.00-1.25-1.50-1.75-2.00-2.25-2.50-2.75-3.00-3.25-3.50-3.75-4.00-4.25-4.50-4.75-5.00-5.25-5.75-6.00-6.25-6.50-6.75-7.00-7.25-7.50-7.75-8.00-8.25-8.50-8.75-9.00-9.25-9.50-9.75-10.00-10.25-10.50-10.75-11.00-11.25-11.50-11.75-12.00-12.25-12.50-12.75-13.00-13.25-13.50-13.75-14.00-14.25-14.50-14.75-15.00-15.25-15.50-15.75-16.00-16.25-16.50-16.75-17.00-17.25-17.50-17.75-18.00-18.25-18.50-18.75-19.00-19.25-19.50-19.75-20.00OD Sphere*+20.00+19.75+19.50+19.25+19.00+18.75+18.50+18.25+18.00+17.75+17.50+17.25+17.00+16.75+16.50+16.25+16.00+15.75+15.50+15.25+15.00+14.75+14.50+14.25+14.00+13.75+13.50+13.25+13.00+12.75+12.50+12.25+12.00+11.75+11.50+11.25+11.00+10.75+10.50+10.25+10.00+9.75+9.50+9.25+9.00+8.75+8.50+8.25+8.00+7.75+7.50+7.25+7.00+6.75+6.50+6.25+6.00+5.75+5.50+5.25+5.00+4.75+4.50+4.25+4.00+3.75+3.50+3.25+3.00+2.75+2.50+2.25+2.00+1.75+1.50+1.25+1.00+0.75+0.50+0.25+0.00-0.25-0.50-0.75-1.00-1.25-1.50-1.75-2.00-2.25-2.50-2.75-3.00-3.25-3.50-3.75-4.00-4.25-4.50-4.75-5.00-5.25-5.75-6.00-6.25-6.50-6.75-7.00-7.25-7.50-7.75-8.00-8.25-8.50-8.75-9.00-9.25-9.50-9.75-10.00-10.25-10.50-10.75-11.00-11.25-11.50-11.75-12.00-12.25-12.50-12.75-13.00-13.25-13.50-13.75-14.00-14.25-14.50-14.75-15.00-15.25-15.50-15.75-16.00-16.25-16.50-16.75-17.00-17.25-17.50-17.75-18.00-18.25-18.50-18.75-19.00-19.25-19.50-19.75-20.00OD CylinderNA-0.50-0.75-1.00-1.25-1.50-1.75-2.00-2.25-2.50-2.75-3.00-3.25-3.50-3.75-4.00-4.25-4.50-4.75-5.00-5.25-5.50-5.75-6.00OD Cylinder*-0.50-0.75-1.00-1.25-1.50-1.75-2.00-2.25-2.50-2.75-3.00-3.25-3.50-3.75-4.00-4.25-4.50-4.75-5.00-5.25-5.50-5.75-6.00OD AxisNA123456789101112131415161718192021222324252627282930313233343536373839404142434445464748495051525354555657585960616263646566676869707172737475767778798081828384858687888990919293949596979899100101102103104105106107108109110111112113114115116117118119120121122123124125126127128129130131132133134135136137138139140141142143144145146147148149150151152153154155156157158159160161162163164165166167168169170171172173174175176177178179180OD Axis*123456789101112131415161718192021222324252627282930313233343536373839404142434445464748495051525354555657585960616263646566676869707172737475767778798081828384858687888990919293949596979899100101102103104105106107108109110111112113114115116117118119120121122123124125126127128129130131132133134135136137138139140141142143144145146147148149150151152153154155156157158159160161162163164165166167168169170171172173174175176177178179180OD Pupil Type*ClearBlackOD Pupil Size*-2.83.34.25.06.0OD Pupil Size*-3.03.54.04.55.06.0OD Underprint-U1 - BlackU2 - PecanU3 - StormyU4 - GraniteOD Underprint*-U1 - BlackU2 - PecanU3 - StormyU4 - GraniteOD Limbal Ring-YesNoOD Starburst-YesNoOD 1st Color-41 - Aqua Enhancer42 - Blue Enhancer43 - Green Enhancer44 - Baby Blue45 - Blue / Gray46 - Caribbean Blue47 - Turquoise48 - Lavender49 - Evergreen50 - Pistachio51 - Stormy Gray52 - Granite Gray53 - Honey54 - Chestnut55 - Pecan56 - Dark CocoaOD 1st Color SeriesV-SeriesX-SeriesOD 2nd Color-41 - Aqua Enhancer42 - Blue Enhancer43 - Green Enhancer44 - Baby Blue45 - Blue / Gray46 - Caribbean Blue47 - Turquoise48 - Lavender49 - Evergreen50 - Pistachio51 - Stormy Gray52 - Granite Gray53 - Honey54 - Chestnut55 - Pecan56 - Dark CocoaOD 2nd Color SeriesV-SeriesX-SeriesOD 3rd Color-41 - Aqua Enhancer42 - Blue Enhancer43 - Green Enhancer44 - Baby Blue45 - Blue / Gray46 - Caribbean Blue47 - Turquoise48 - Lavender49 - Evergreen50 - Pistachio51 - Stormy Gray52 - Granite Gray53 - Honey54 - Chestnut55 - Pecan56 - Dark CocoaOD 3rd Color SeriesV-SeriesX-SeriesOD 4th Color-41 - Aqua Enhancer42 - Blue Enhancer43 - Green Enhancer44 - Baby Blue45 - Blue / Gray46 - Caribbean Blue47 - Turquoise48 - Lavender49 - Evergreen50 - Pistachio51 - Stormy Gray52 - Granite Gray53 - Honey54 - Chestnut55 - Pecan56 - Dark CocoaOD 4th Color SeriesV-SeriesX-SeriesOD 5th Color-41 - Aqua Enhancer42 - Blue Enhancer43 - Green Enhancer44 - Baby Blue45 - Blue / Gray46 - Caribbean Blue47 - Turquoise48 - Lavender49 - Evergreen50 - Pistachio51 - Stormy Gray52 - Granite Gray53 - Honey54 - Chestnut55 - Pecan56 - Dark CocoaOD 5th Color SeriesV-SeriesX-SeriesOrdering OS lens disabled since OD lens was selected.Check this box to order a single OS lens OS Lens Type*-Cosmetic - SphereCosmetic - ToricProsthetic - SphereProsthetic - ToricOS Lens Material*-Methafilcon 55%Polymacon 38%OS Base Curve*7.87.98.08.18.28.38.48.58.68.78.88.99.09.19.2Standard base curve size is 8.6.OS Diameter*13.513.613.713.813.914.014.114.214.314.414.514.614.714.814.915.015.115.215.315.415.515.615.715.815.916.0Standard diameter size is 14.5.OS Sphere+20.00+19.75+19.50+19.25+19.00+18.75+18.50+18.25+18.00+17.75+17.50+17.25+17.00+16.75+16.50+16.25+16.00+15.75+15.50+15.25+15.00+14.75+14.50+14.25+14.00+13.75+13.50+13.25+13.00+12.75+12.50+12.25+12.00+11.75+11.50+11.25+11.00+10.75+10.50+10.25+10.00+9.75+9.50+9.25+9.00+8.75+8.50+8.25+8.00+7.75+7.50+7.25+7.00+6.75+6.50+6.25+6.00+5.75+5.50+5.25+5.00+4.75+4.50+4.25+4.00+3.75+3.50+3.25+3.00+2.75+2.50+2.25+2.00+1.75+1.50+1.25+1.00+0.75+0.50+0.25+0.00-0.25-0.50-0.75-1.00-1.25-1.50-1.75-2.00-2.25-2.50-2.75-3.00-3.25-3.50-3.75-4.00-4.25-4.50-4.75-5.00-5.25-5.75-6.00-6.25-6.50-6.75-7.00-7.25-7.50-7.75-8.00-8.25-8.50-8.75-9.00-9.25-9.50-9.75-10.00-10.25-10.50-10.75-11.00-11.25-11.50-11.75-12.00-12.25-12.50-12.75-13.00-13.25-13.50-13.75-14.00-14.25-14.50-14.75-15.00-15.25-15.50-15.75-16.00-16.25-16.50-16.75-17.00-17.25-17.50-17.75-18.00-18.25-18.50-18.75-19.00-19.25-19.50-19.75-20.00OS Sphere*+20.00+19.75+19.50+19.25+19.00+18.75+18.50+18.25+18.00+17.75+17.50+17.25+17.00+16.75+16.50+16.25+16.00+15.75+15.50+15.25+15.00+14.75+14.50+14.25+14.00+13.75+13.50+13.25+13.00+12.75+12.50+12.25+12.00+11.75+11.50+11.25+11.00+10.75+10.50+10.25+10.00+9.75+9.50+9.25+9.00+8.75+8.50+8.25+8.00+7.75+7.50+7.25+7.00+6.75+6.50+6.25+6.00+5.75+5.50+5.25+5.00+4.75+4.50+4.25+4.00+3.75+3.50+3.25+3.00+2.75+2.50+2.25+2.00+1.75+1.50+1.25+1.00+0.75+0.50+0.25+0.00-0.25-0.50-0.75-1.00-1.25-1.50-1.75-2.00-2.25-2.50-2.75-3.00-3.25-3.50-3.75-4.00-4.25-4.50-4.75-5.00-5.25-5.75-6.00-6.25-6.50-6.75-7.00-7.25-7.50-7.75-8.00-8.25-8.50-8.75-9.00-9.25-9.50-9.75-10.00-10.25-10.50-10.75-11.00-11.25-11.50-11.75-12.00-12.25-12.50-12.75-13.00-13.25-13.50-13.75-14.00-14.25-14.50-14.75-15.00-15.25-15.50-15.75-16.00-16.25-16.50-16.75-17.00-17.25-17.50-17.75-18.00-18.25-18.50-18.75-19.00-19.25-19.50-19.75-20.00OS CylinderNA-0.50-0.75-1.00-1.25-1.50-1.75-2.00-2.25-2.50-2.75-3.00-3.25-3.50-3.75-4.00-4.25-4.50-4.75-5.00-5.25-5.50-5.75-6.00OS Cylinder*-0.50-0.75-1.00-1.25-1.50-1.75-2.00-2.25-2.50-2.75-3.00-3.25-3.50-3.75-4.00-4.25-4.50-4.75-5.00-5.25-5.50-5.75-6.00OS AxisNA123456789101112131415161718192021222324252627282930313233343536373839404142434445464748495051525354555657585960616263646566676869707172737475767778798081828384858687888990919293949596979899100101102103104105106107108109110111112113114115116117118119120121122123124125126127128129130131132133134135136137138139140141142143144145146147148149150151152153154155156157158159160161162163164165166167168169170171172173174175176177178179180OS Axis*123456789101112131415161718192021222324252627282930313233343536373839404142434445464748495051525354555657585960616263646566676869707172737475767778798081828384858687888990919293949596979899100101102103104105106107108109110111112113114115116117118119120121122123124125126127128129130131132133134135136137138139140141142143144145146147148149150151152153154155156157158159160161162163164165166167168169170171172173174175176177178179180OS Pupil Type*ClearBlackOS Pupil Size*-2.83.34.25.06.0OS Pupil Size*-3.03.54.04.55.06.0OS Underprint-U1 - BlackU2 - PecanU3 - StormyU4 - GraniteOS Underprint*-U1 - BlackU2 - PecanU3 - StormyU4 - GraniteOS Limbal Ring-YesNoOS Starburst-YesNoOS 1st Color-41 - Aqua Enhancer42 - Blue Enhancer43 - Green Enhancer44 - Baby Blue45 - Blue / Gray46 - Caribbean Blue47 - Turquoise48 - Lavender49 - Evergreen50 - Pistachio51 - Stormy Gray52 - Granite Gray53 - Honey54 - Chestnut55 - Pecan56 - Dark CocoaOS 1st Color SeriesV-SeriesX-SeriesOS 2nd Color-41 - Aqua Enhancer42 - Blue Enhancer43 - Green Enhancer44 - Baby Blue45 - Blue / Gray46 - Caribbean Blue47 - Turquoise48 - Lavender49 - Evergreen50 - Pistachio51 - Stormy Gray52 - Granite Gray53 - Honey54 - Chestnut55 - Pecan56 - Dark CocoaOS 2nd Color SeriesV-SeriesX-SeriesOS 3rd Color-41 - Aqua Enhancer42 - Blue Enhancer43 - Green Enhancer44 - Baby Blue45 - Blue / Gray46 - Caribbean Blue47 - Turquoise48 - Lavender49 - Evergreen50 - Pistachio51 - Stormy Gray52 - Granite Gray53 - Honey54 - Chestnut55 - Pecan56 - Dark CocoaOS 3rd Color SeriesV-SeriesX-SeriesOS 4th Color-41 - Aqua Enhancer42 - Blue Enhancer43 - Green Enhancer44 - Baby Blue45 - Blue / Gray46 - Caribbean Blue47 - Turquoise48 - Lavender49 - Evergreen50 - Pistachio51 - Stormy Gray52 - Granite Gray53 - Honey54 - Chestnut55 - Pecan56 - Dark CocoaOS 4th Color SeriesV-SeriesX-SeriesOS 5th Color-41 - Aqua Enhancer42 - Blue Enhancer43 - Green Enhancer44 - Baby Blue45 - Blue / Gray46 - Caribbean Blue47 - Turquoise48 - Lavender49 - Evergreen50 - Pistachio51 - Stormy Gray52 - Granite Gray53 - Honey54 - Chestnut55 - Pecan56 - Dark CocoaOS 5th Color SeriesV-SeriesX-SeriesComments and Special InstructionsTo submit your order, click on the Submit Order button. To start over, click on the button. This iframe contains the logic required to handle Ajax powered Gravity Forms.