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LAMINATED AFO/KARO OPTOMETRY FORM
Today's Date:Patient:Facility:Age:Street:Activity Level:City:Diagnosis:State:Sex:Ht:Wt:Zip:Orthotic:PO#:Phone:_Delivery Date:MEASUREMENTS:InchesCentimetersSIDE :Right
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How to fill out laminated afokafo orthometry form
How to fill out laminated afokafo orthometry form
01
Start by gathering all the necessary information such as the patient's personal details, prescription information, and any additional notes or instructions.
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Use a fine-tip permanent marker to carefully fill in the required fields on the laminated afokafo orthometry form.
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Begin with the patient's name, ensuring that it is written in clear, legible letters.
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Proceed to enter the patient's age, gender, and contact information in the respective fields.
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Provide the prescription details, including the lens type, power, and any necessary prism or cylinder information.
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If there are any specific instructions or additional notes, make sure to write them clearly and concisely.
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If you are unsure about any part of the form or need assistance, consult with your supervisor or a knowledgeable colleague.
Who needs laminated afokafo orthometry form?
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Optometrists and ophthalmologists who perform eyeglass prescriptions and fittings may need the laminated afokafo orthometry form.
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Additionally, opticians or other eyewear professionals who require accurate measurements for ordering or crafting lenses may also need this form.
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Patients who are undergoing the process of obtaining new eyeglasses or contact lenses may be asked to fill out the laminated afokafo orthometry form.
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