Texas State Optical College Station Contact Lens AgreementContact Lens Agreement • February 15th, 2018
Contract Type FiledFebruary 15th, 2018Congratulations on your decision to be fitted with contact lenses! To preserve the health of your eyes and become a successful contact lens wearer, it is vitally important that you follow the doctor's instructions on wearing and maintaining you contact lenses.
CONTACT LENS AGREEMENT:Contact Lens Agreement • October 19th, 2016
Contract Type FiledOctober 19th, 2016Contact Lens Fitting is not part of the standard annual eye exam and may require a number of follow-up visits. These visits are important to ensure the proper fit of the lenses and health of the eye. Please keep these appointments. The cost of the contact lens fitting is $59.00-79.00, which is determined by the type of lenses that are required, your prescription, and if you are a previous contact lens wearer. Your fitting may begin at the time of the initial exam, with the doctor transposing your glasses prescription, in order to determine the contact trails needed for evaluation.
Contact Lens Agreement Edmonds & Associates, LLCContact Lens Agreement • January 29th, 2019
Contract Type FiledJanuary 29th, 2019A contact lens is a medical device that is in direct contact with the delicate tissues of your eye. As such, it must fit appropriately to maintain the health of your eye and allow best-corrected vision. A contact lens prescription can only be determined by the careful measurement of ocular structures and then observation of the lens on the eye. The eyes response to the lens can only be evaluated on scheduled follow up visits. It is your responsibility to keep all appointments and follow all care instructions.
Columbus Ophthalmology Associates Annual Contact Lens AgreementContact Lens Agreement • September 30th, 2016
Contract Type FiledSeptember 30th, 2016At Columbus Ophthalmology Associates, we carry the latest in contact lens technology and specialize in the difficult-to-fit patient. This includes astigmatism-correcting lenses (toric), multifocal lenses, corneal diseases (like keratoconus) and post-surgical contact lens fits.
Contact Lens AgreementContact Lens Agreement • August 17th, 2022
Contract Type FiledAugust 17th, 2022THE COMPREHENSIVE EYE EXAM: Before a person can be fit with contact lenses, a complete medical and refractive eye exam is necessary. This exam is critical to assure good health of your eyes and rule out any unsuspected, underlying condition that may prevent contact lens use.
CONTACT LENS AGREEMENTContact Lens Agreement • March 3rd, 2015
Contract Type FiledMarch 3rd, 2015In accordance with Federal regulations regarding contact lens prescription release and patient compliance, Marshall Eye Care, request your acknowledgement of reading this statement.
Annual Contact Lens AgreementContact Lens Agreement • September 27th, 2019
Contract Type FiledSeptember 27th, 2019At Invision Family Eyecare, we carry the latest in contact lens technology and specialize in the difficult-to-fit patients. This includes spherical lenses (soft), astigmatism-correcting lenses (toric), and multifocal lenses (presbyopia). We are dedicated to your health and an enjoyable, comfortable contact lens experience.
CONTACT LENS AGREEMENT - ESTABLISHED WEARERContact Lens Agreement • November 19th, 2019
Contract Type FiledNovember 19th, 2019A contact lens prescription is valid for one year as mandated by federal law. In order to update the contact lens prescription, all patients will need a yearly examination. This is to ensure that your eyes are healthy and the contact lenses are fitting well. Contact lens prescriptions cannot be renewed without the annual exam.
Contact Lens AgreementContact Lens Agreement • February 23rd, 2018
Contract Type FiledFebruary 23rd, 2018Before a patient can be fit with contact lenses, a complete eye examination is necessary. This exam is critical to assure the good health of your eyes to allow contact lens wear; as well as determining an accurate current prescription. The contact lens fitting is not part of a complete eye exam, but is an additional service. If you have vision insurance, this service may be covered in whole or in part.
Contact Lens AgreementContact Lens Agreement • September 17th, 2020
Contract Type FiledSeptember 17th, 2020This is required every 12 months and is an examination specific to your eye health as a Contact Lens wearer. This is not part of a Routine Vision Exam. Fee is due at the time of service.
Specialty Contact Lens AgreementContact Lens Agreement • May 16th, 2022
Contract Type FiledMay 16th, 2022
CONTACT LENS AGREEMENTContact Lens Agreement • August 30th, 2020
Contract Type FiledAugust 30th, 2020Northside Vision wants you to have a healthy, enjoyable contact lens experience. Since contact lenses are prescription medical devices worn directly on the front surface of your eyes, those who wish to wear contact lenses require additional services specific to contact lens wear – Services which are not part of regular vision exam. Your contact lens evaluation fee covers your initial evaluation today and any doctor recommended contact lens progress visits for up to 60 days. The contact lens evaluation fee varies depending on the time taken to fit you and the complexity of your prescription.
Contact Lens AgreementContact Lens Agreement • February 18th, 2017
Contract Type FiledFebruary 18th, 2017At Baxter Eye Care, we carry the latest in contact lens technology and are dedicated to providing you with the best vision and comfort there is to offer. Because contact lenses are a medical device, a contact lens evaluation must be performed annually in order to provide a contact lens prescription. This is a separate service from the comprehensive exam, and includes:
Annual Contact Lens AgreementContact Lens Agreement • October 1st, 2021
Contract Type FiledOctober 1st, 2021At Medical Associates Clinic, we carry the latest in contact lens technology, and specialize in the difficult‐ to‐fit patients. This includes astigmatism‐correcting lenses (toric), multi‐focal lenses, lenses to rehabilitate corneal diseases (like keratoconus), and post‐surgical contact lens fits. We are dedicated to your health and an enjoyable, comfortable contact lens experience.
CONTACT LENS AGREEMENTContact Lens Agreement • December 21st, 2013
Contract Type FiledDecember 21st, 2013
NEW WEARER TO CONTACT LENSESContact Lens Agreement • November 19th, 2019
Contract Type FiledNovember 19th, 2019The goal of a contact lens fitting is to determine the most appropriate lens for your optimal vision and comfort. You will be provided with personalized instruction concerning the safe care and usage of contact lenses. A contact lens fitting does not have to be performed the day of the comprehensive exam, but must be done within 60 days.
Contact Lens AgreementContact Lens Agreement • February 21st, 2017
Contract Type FiledFebruary 21st, 2017
Annual Contact Lens Agreement and Rx Acknowledgement FormContact Lens Agreement • July 19th, 2023
Contract Type FiledJuly 19th, 2023Our contact lenses are priced to be competitive with optical chains and discount stores. In most cases, lenses purchased through our office will be less expensive when you take advantage of manufacturer rebates that are available only through a doctor’s office.
Contact Lens AgreementContact Lens Agreement • August 21st, 2020
Contract Type FiledAugust 21st, 2020This service required if you have never worn contacts before. Therefore, all first time wearers cannot leave the office with contacts until the training of insertion, removal and handling has been completed.
Contact Lens AgreementContact Lens Agreement • September 17th, 2020
Contract Type FiledSeptember 17th, 2020• Contact lenses are foreign devices that when placed in the eye can increase your chance of obtaining an eye infection, if recommended guidelines are not followed properly; therefore a contact lens prescription expires in one year from the original exam date and cannot be filled thereafter without another eye exam.
CONTACT LENS AGREEMENTContact Lens Agreement • September 26th, 2022
Contract Type FiledSeptember 26th, 2022
Contact Lens AgreementContact Lens Agreement • January 6th, 2024
Contract Type FiledJanuary 6th, 2024Contact lenses are medical devices, which have advantages as well as limitations. Contact lenses are not suitable for wear in all conditions or for all patients. It is important that you exercise good judgment while wearing and caring for your contact lenses. To ensure your safety and eye health, annual eye examinations, refractions, and contact lens fittings are in your best interest and required. Eye health problems associated with contact lenses can arise without noticeable symptoms of pain or blurry vision. However, if you do experience pain, blurred vision, redness, discharge or any unusual symptoms before your next scheduled appointment, remove your contact lenses and report to us immediately, as these are not normal experiences in wearing contact lenses. Failure to follow these instructions can lead to infection, damage to your eyes, and loss of vision. We want your contact lens experience to be a successful one, so please do not hesitate to ask questions.
NEW WEARER TO CONTACT LENSESContact Lens Agreement • April 26th, 2017
Contract Type FiledApril 26th, 2017Our contact lens program is an essential component of our patients’ wellness program. We are committed to taking the time and effort to fit your contact lenses properly.
Contact Lens AgreementContact Lens Agreement • November 24th, 2020
Contract Type FiledNovember 24th, 2020The contact lens examination fee varies depending on your prescription and the type of contacts you are prescribed. A contact lens exam is part of your annual exam and is required each year in order to receive a contact lens prescription. We will not extend your contact lens Rx past one year.
CONTACT LENS AGREEMENT - ESTABLISHED WEARERContact Lens Agreement • April 17th, 2017
Contract Type FiledApril 17th, 2017Our contact lens program is an essential component of our patients’ wellness program. We are committed to taking the time and effort to fit your contact lenses properly.
CONTACT LENS AGREEMENTContact Lens Agreement • January 11th, 2012
Contract Type FiledJanuary 11th, 2012Fit = $100 soft or multi-bifocal/$200 RGP applies to any patient that is being fit in contact lenses for the first time, and/or is wearing contact lenses but has never been fit by one of our doctors, and/or has been fit by our doctors but requires fitting in a new type of contact lens.
Please read this information carefully. We would be happy to answer any questions.Contact Lens Agreement • June 3rd, 2021
Contract Type FiledJune 3rd, 2021If you are a current contact lens wearer or are interested in wearing contact lenses, you will need a contact lens evaluation.
Contact Lens AgreementContact Lens Agreement • September 2nd, 2020
Contract Type FiledSeptember 2nd, 2020In 2004 the Food and Drug Administration (FDA) classified contact lenses as medical devices. Therefore a fitting must be performed to ensure the accuracy and safely of the contacts. The FDA also required a fitting to be done on an annual basis regardless if the patient has worn contact lenses in the past. Therefore, a contact lens prescription is only good for 1 year.
Contact Lens Agreement:Contact Lens Agreement • July 15th, 2015
Contract Type FiledJuly 15th, 2015• Contact lenses are medical devices that require a separate evaluation/fitting process (which is not part of the standard eye health exam) in order to obtain a contact lens prescription. Even previous contact lens patients require this evaluation to maintain the correct fit of the contacts and ensure that there are no eye health problems from contact lens wear.
Annual Contact Lens AgreementContact Lens Agreement • May 3rd, 2020
Contract Type FiledMay 3rd, 2020At Inland Eye Care, we want your contact lens fitting experience to be a positive one thus we aim to make our contact lens policies simple and fair to everyone. We carry the latest in contact lens technology, and specialize in the difficult to fit patients. This includes astigmatism- correcting lenses (Toric), multifocal lenses, corneal diseases (like keratoconus) and post-surgical contact lens fits.
Contact Lens AgreementContact Lens Agreement • October 20th, 2021
Contract Type FiledOctober 20th, 2021A contact lens is a medical device in contact with the tissue of your eye; therefore, it must be appropriately fit to maintain the health of your eye. A contact lens prescription is determined by taking a measurement of your cornea, examining how the lens fits on your eye, and your eye's response to the lens. Before a patient can be fit with contact lenses, a complete eye examination is necessary. This exam is critical to assure your eye is healthy enough to support contact lens wear and allows your provider to determine an accurate prescription.
Contact Lens AgreementContact Lens Agreement • November 15th, 2007
Contract Type FiledNovember 15th, 2007
Contact Lens AgreementContact Lens Agreement • February 27th, 2020
Contract Type FiledFebruary 27th, 2020
CONTACT LENS AGREEMENTContact Lens Agreement • September 6th, 2017
Contract Type FiledSeptember 6th, 2017
CONTACT LENS AGREEMENT - ESTABLISHED WEARERContact Lens Agreement • March 22nd, 2021
Contract Type FiledMarch 22nd, 2021A contact lens prescription is valid for one year as mandated by federal law. In order to update the contact lens prescription, all patients will need a yearly examination. This is to ensure that your eyes are healthy and the contact lenses are fitting well. Contact lens prescriptions cannot be renewed without the annual exam.