Contact Lens Care Agreement Sample Contracts

Dr. Harry Landrum, Optometric Physician CONTACT LENS CARE AGREEMENT
Contact Lens Care Agreement • October 3rd, 2020

Contact lenses are FDA class 1 medical devices that have the potential for serious complications if not used and fitted properly. For that reason, the standard of care and the requirements of the New Jersey State Board of Optometry and the federal government require an annual examination for the renewal of a contact lens prescription. In addition to general eye health assessment, the doctor will assess issues related to contacts such as abnormal blood vessel growth, corneal damage, chronic inflammation, hygiene, discomfort and poor surface compatibility, in addition to vision changes. The estimated fee for these services range between $85 and $155. These fees will cover contact lens related follow ups for a 30 day period. If you cannot complete the fitting procedure in the allotted time due to missed follow up appointments, there will be an additional $35 charge per visit beyond the global time period. Additional fees for training for insertion and removal of contact lenses is approxim

CONTACT LENS CARE AGREEMENT/POLICY
Contact Lens Care Agreement • May 19th, 2020

At SpecialEyes Eyecare we strive to provide you with the clearest vision and safest contact lenses for your eyes. Contact lenses are FDA Class II – III medical devices and have the potential for serious complications, thus require ongoing evaluation to ensure safe and comfortable wear.