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EYE SURGICAL ASSOCIATES CONTACT LENS COST AND POLICY GUIDELINES Patient Name: INITIAL CONTACT LENS FITTING AND EXAM The fitting and yearly monitoring of contact lenses involves two parts: 1. A complete
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How to fill out contact lens patient forms

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How to fill out contact lens patient forms:

01
Start by carefully reading through the form to understand what information is required. This may include personal details such as your name, contact information, and date of birth.
02
Fill in any pertinent medical history, such as previous eye conditions, surgeries, or allergies. This will help the eye care professional assess your suitability for contact lens wear.
03
Indicate your current eyeglass prescription, if applicable. This helps the eye care professional determine the appropriate contact lens prescription for you.
04
If you are already wearing contact lenses, provide details about the brand, type, and wearing schedule. This helps the eye care professional understand your current contact lens usage and make any necessary adjustments.
05
Answer questions regarding your lifestyle and activities. These may include questions about your occupation, hobbies, and sports participation, as they can influence the type of contact lenses recommended for you.
06
If you have any specific concerns or preferences related to contact lenses, note them in the appropriate section of the form. This allows the eye care professional to address any individual needs during the examination.

Who needs contact lens patient forms?

01
Individuals who are considering or currently wearing contact lenses need to fill out contact lens patient forms. These forms provide important information to the eye care professional during the examination process.
02
New contact lens wearers must fill out these forms so the eye care professional can assess their suitability for contact lens wear and provide appropriate guidance and prescriptions.
03
Existing contact lens wearers should also complete these forms annually or as advised by their eye care professional. This ensures that any changes in health status or lifestyle can be taken into account for optimal contact lens fitting and care.
Remember, accurate and complete information on contact lens patient forms is essential for the eye care professional to provide the best possible care and recommendations for your vision needs.
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Contact lens patient forms are documents used by optometrists or ophthalmologists to record and track information about patients who wear contact lenses.
Optometrists or ophthalmologists are required to file contact lens patient forms for their patients who wear contact lenses.
Contact lens patient forms can be filled out by providing information such as patient's name, contact lens prescription details, and any relevant medical history.
The purpose of contact lens patient forms is to ensure accurate record-keeping of patients who wear contact lenses and to monitor their eye health.
Information such as patient's name, contact lens prescription details, relevant medical history, and any complications related to wearing contact lenses must be reported on contact lens patient forms.
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