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The New York State Vision Plan Vision Care Service Record (This form to be maintained by the providers' office) SECTION I PROVIDER/PATIENT SECTION Member Name: Member ID No.: Patient Name: Member
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How to fill out contact lenses

How to fill out contact lenses:
01
Wash your hands thoroughly with soap and water before handling your contact lenses to prevent any bacteria from entering your eyes.
02
Carefully remove the contact lens from its case using clean fingers. Avoid touching the lens with your nails or any sharp objects as it can damage the lens.
03
Place the lens on the tip of your index finger and inspect it for any debris or tears. If you notice any damage, discard the lens and use a new one.
04
Hold your upper eyelid gently with one hand and use the other hand to hold down your lower eyelid. This will create a wider opening for you to insert the lens.
05
Look straight ahead and gently place the lens onto the white part of your eye, called the conjunctiva. Avoid blinking while inserting the lens.
06
Slowly release your eyelids and blink a few times to help the lens settle into place. You may need to adjust the lens position by gently pressing on the eyelid or blinking a few more times.
07
Repeat the same process for the other eye, ensuring that you are using the correct lens for each eye. Colored lenses, for example, may have different designs for the right and left eye.
Who needs contact lenses:
01
People with refractive errors such as myopia (nearsightedness), hyperopia (farsightedness), astigmatism, or presbyopia may opt for contact lenses as an alternative to wearing glasses.
02
Those who participate in sports or physical activities may prefer contact lenses as they provide clear vision without the worry of glasses falling off or breaking during vigorous movements.
03
Contact lenses can be a good option for individuals who want to enhance their appearance by changing the color of their eyes with colored contact lenses.
04
Some people may find contact lenses more comfortable than glasses, especially in situations where peripheral vision and lateral vision are important.
05
Contact lenses can also be recommended by an eye care professional for therapeutic purposes, such as managing certain eye conditions or promoting corneal healing.
Remember, it is important to consult with an optometrist or ophthalmologist to determine if contact lenses are suitable for your eyes and to receive proper guidance on lens care and usage.
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What is contact lenses?
Contact lenses are thin, curved lenses that are placed directly on the eye's surface to correct vision.
Who is required to file contact lenses?
Individuals who use contact lenses are required to file for them.
How to fill out contact lenses?
To fill out contact lenses, you need to provide information about your prescription, eye doctor, and contact lens brand.
What is the purpose of contact lenses?
The purpose of contact lenses is to correct vision for individuals who prefer an alternative to glasses.
What information must be reported on contact lenses?
Information such as prescription details, eye doctor information, and contact lens brand must be reported on contact lenses.
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