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Eye Care Highlight Sheet
Plan 1: Choice Vision Perfect Plan Summary
DeductiblesEffective Date:1/1/2014×0Maximum
Calendar Perennial Eye Exam
Lenses (per pair)
Single Vision
Bifocal
Trifocals
Lenticular
Progressive×150
Subject
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How to fill out eye care highlight sheet
How to fill out eye care highlight sheet:
01
Begin by gathering all necessary information related to eye care, such as previous eye exams, current medications, and any existing eye conditions.
02
Write down your personal details, including your name, contact information, and date of birth, at the top of the highlight sheet.
03
Fill in the details of your current eye care provider, including their name, contact information, and the date of your last visit.
04
Record any medications you are currently taking that are related to your eye care. Include the name of the medication, the dosage, and the frequency of use.
05
Indicate any allergies or sensitivities you may have, especially if they are related to eye care products or medications.
06
Write down any existing eye conditions or diseases you have been diagnosed with, along with any additional information or treatment plans prescribed by your eye care professional.
07
Include any pertinent information regarding previous eye surgeries or procedures you have undergone.
08
If you wear glasses or contact lenses, provide the details of your prescription, including the strength of the lenses and any additional notes from your eye care provider.
09
Don't forget to mention any family history of eye conditions or diseases that may be relevant to your eye care.
10
Lastly, review the completed eye care highlight sheet for accuracy and ensure that all necessary information has been included.
Who needs eye care highlight sheet?
01
Individuals who wear glasses or contact lenses and require regular eye care.
02
Patients with existing eye conditions or diseases that necessitate ongoing monitoring and treatment.
03
Anyone undergoing eye surgery or procedures.
04
Individuals with a family history of eye conditions or diseases.
05
Those who are taking medications related to eye care.
06
Anyone who wants to keep a comprehensive record of their eye health for future reference.
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What is eye care highlight sheet?
The eye care highlight sheet is a document that summarizes the key information related to eye care services provided.
Who is required to file eye care highlight sheet?
Eye care providers and facilities are required to file the eye care highlight sheet.
How to fill out eye care highlight sheet?
The eye care highlight sheet can be filled out by entering the required information such as patient details, services provided, and any additional notes.
What is the purpose of eye care highlight sheet?
The purpose of the eye care highlight sheet is to provide a quick overview of the eye care services provided and important information related to the patient's eye care.
What information must be reported on eye care highlight sheet?
The eye care highlight sheet must include details such as patient name, date of service, type of service provided, and any follow-up recommendations.
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