Prescription Form

Congratulations on your purchase of ONA POLO VCP21 RX

As the next step, you should proceed with the tutorial on measuring pupillary distances and then fill out the form below.

You must complete a separate form for each lens purchased.


Right Eye

Left Eye




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    Shipping Update for Our US Customers 🇺🇸


    Due to recent tariff changes in the United States, our Royal Mail and DHL services are on a short pause. We expect everything to be back up and running next week, and we’ll get your orders on their way as soon as possible.

    You can still place your order today, and we’ll ship it the moment services resume.

    Thank you for your patience and understanding 💛

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