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Specialty Contact Lens Clinic History and Lifestyle Questionnaire Patient Name: ___ Date: ___Instructions: Please fill out this questionnaire to the best of your ability. This form is meant to assist
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How to fill out contact lenses - look

How to fill out contact lenses - look
01
Wash your hands with soap and water before handling the contact lenses.
02
Remove one lens from its case and make sure it is not inside out.
03
Place the lens on the tip of your index finger.
04
Use your other hand to hold your upper eyelid open and use your middle finger to pull down your lower eyelid.
05
Gently place the contact lens on your eye and release your eyelids.
06
Blink a few times to help the lens settle in place.
Who needs contact lenses - look?
01
People with vision problems such as nearsightedness, farsightedness, astigmatism, or presbyopia.
02
People who are not suitable candidates for laser eye surgery.
03
Athletes who need clear vision without the hassle of glasses.
04
Those who want to change their eye color or enhance their appearance.
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What is contact lenses - look?
Contact lenses are thin lenses placed directly on the surface of the eye to correct vision.
Who is required to file contact lenses - look?
Anyone who uses contact lenses for vision correction is required to file.
How to fill out contact lenses - look?
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 - look?
The purpose of contact lenses is to provide an alternative to eyeglasses for vision correction.
What information must be reported on contact lenses - look?
You must report your contact lens brand, prescription details, and eye doctor information.
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