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CONTACT LENS FITTING AGREEMENT / DISCLOSURE THIS FORM NEEDS TO BE READ IF YOU ARE A CONTACT LENS WEARER OR ARE INTERESTED IN WEARING CONTACT LENSES. A contact lens fitting is a separate part of a
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How to fill out contact lens fitting agreement

How to fill out contact lens fitting agreement
01
Start by entering your personal information, such as your name, address, and contact information.
02
Provide details about your eye prescription, including the type of contact lens you are interested in, the power of the lenses, and any special instructions given by your eye care professional.
03
Specify the date of the fitting agreement and any associated fees or payment details.
04
Outline the terms and conditions of the agreement, including the duration of the agreement, any renewal options, and any specific responsibilities or obligations of both parties.
05
Include any additional clauses or provisions that you and your eye care professional deem necessary for the agreement.
06
Sign and date the agreement, indicating your consent and understanding of the terms outlined.
07
Keep a copy of the signed agreement for your records.
Who needs contact lens fitting agreement?
01
Anyone who intends to get contact lenses fitted by an eye care professional needs a contact lens fitting agreement.
02
This includes individuals who require corrective lenses for vision correction or those who wish to switch from eyeglasses to contact lenses.
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What is contact lens fitting agreement?
Contact lens fitting agreement is a document that outlines the terms and conditions between the eye care provider and the patient for fitting contact lenses.
Who is required to file contact lens fitting agreement?
The eye care provider is required to file the contact lens fitting agreement.
How to fill out contact lens fitting agreement?
Contact lens fitting agreement can be filled out by providing the necessary information such as patient's details, type of contact lenses prescribed, terms of fitting, and any other relevant information.
What is the purpose of contact lens fitting agreement?
The purpose of contact lens fitting agreement is to ensure clear communication between the eye care provider and the patient regarding the fitting of contact lenses.
What information must be reported on contact lens fitting agreement?
The contact lens fitting agreement must include patient's information, type of contact lenses prescribed, terms of fitting, and any other relevant information.
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