Please provide us details about your prescription
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How would you like us to get your prescription? *




 
Please ensure all of the prescription form and date of sight test is visible in the image.

 
Please ensure all of the prescription form and date of sight test is visible in the image.

 
Please ensure all of the prescription form and date of sight test is visible in the copy that you email to us.

 
Take Photo or Upload Prescription *

 
Upload Prescription *

 
Date of Sight Test *

 
We will be in contact with you to get your PD measurement.

 
Confirm Prescription *

I confirm that my prescription was given to me by a registered optometrist or a registered medical practitioner less than two years ago.
     
Your order is now being processed and we will be in touch if we have any queries about your prescription.

If you have any questions, please email orders@iolla.com and a member of our team will get back to you.