LOUPES ORDER FORM Dental Surgical Protocol Order number Date / Customer Address/Street Number Postal Code Town County User s name Customization User s height Note The user has prescription glasses YES The user wears contact lenses NO if the user has prescription glasses please attach the copy of the prescription or fill the chart here below RIGHT EYE Sphere LEFT EYE Cylinder Axis LENS SPECTACLES Neutre distance Distance correction intermediate close-up Close-up correction ADDITION Model TTL Bifocal Declination angle F/U Type Galileian 1 meas. Magnification Working distance X Prismatic TOTAL INTERPUPILLARY DISTANCE INFINTE VIEWING WORKING DISTANCE VIEWING FRAMES FOR TTL Univet-01 TECHNE FRAMES FOR FLIP/UP EVO galileian White/red IRIS S Black Pink IRIS L Orange ASH S Grey/Grey AIRX prismatic Black/Red ASH L AIRX galileian Grey Headband prismatic White avalable for customized TTL until 31/12/2011 PICTURE NUMBER/NAME SALES AGENT SIGNATURE CUSTOMER SIGNATURE We point out that only a complet....
Open form follow the instructions
Easily sign the form with your finger
Send filled & signed form or save
How to fill out the Univet Dental Loupes online
Filling out the Univet Dental Loupes form online ensures a seamless ordering experience. This guide offers clear, step-by-step instructions tailored to help users complete the form accurately and efficiently.
Follow the steps to complete your order form seamlessly.
- Press the ‘Get Form’ button to access the Univet Dental Loupes order form.
- Begin by inputting your order number and the current date in the respective fields.
- Fill in the customer details, including your full address, postal code, town, county, and country.
- Enter the user's name and age in the designated sections.
- Proceed to the customization options. Indicate the user's height and any additional notes relevant to the order.
- Specify whether the user has prescription glasses or wears contact lenses by selecting 'YES' or 'NO'.
- If the user has prescription glasses, attach a copy of the prescription or input the details for the right and left eyes, including sphere, cylinder, and axis measurements.
- Fill in the lens specifications for spectacles, ensuring to complete the distance, intermediate, and close-up corrections as applicable.
- Select the model specifics, such as TTL or bifocal options, and input the declination angle as needed.
- Indicate the required magnification and working distance for both eyes, ensuring to measure accurately.
- Complete the interpupillary distance sections, indicating the necessary measurements for infinite viewing and working distance viewing.
- Choose the frames for TTL and flip/up options, depending on personal preference from the available selections.
- Lastly, provide the picture number or name, and ensure both the sales agent's and customer's signatures are included for confirmation.
- Once all sections are completed, save your changes and choose to download, print, or share the form as needed.
Start filling out your Univet Dental Loupes form online today!
Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
Related content
Jul 14, 2013 — ... such as low-powered magnification (dental loupes) and special...
Sep 25, 2013 — dental loupes (Univet Optical Technologies, Italy) and a week after that...
( READY ) UNIVET GOGGLE - TYPE 6X1 - Broad lens for a field of view ... shades; just 7...
Get answers to your most pressing questions about US Legal Forms API.
How do Univet loupes differ from others?
Univet Dental Loupes stand out due to their advanced optical technology and ergonomic design. Unlike many other brands, Univet loupes offer superior magnification clarity and a lightweight frame that enhances comfort during long procedures. Additionally, they feature customizable options, allowing you to select the perfect working distance and angle for your specific needs. This combination of quality and personalization makes Univet Dental Loupes a preferred choice among dental professionals.
What is the best frame for loupes?
Titanium frames can provide you with the balance and stability required to support the surgical magnification loupes in place. They can also be easily adjusted.
What are the best dental loupes brand?
Brands Orascoptic – great optics not as expensive as the ones with the same quality optics. Q-Optics – most expensive but comes with a lifetime warranty, lightweight. Designs for Vision (DFV) – durable. Surgitel. EyeMag Pro (Zeiss)
What is the best dental loupe magnification?
In conclusion, the most commonly used magnification for dental loupes is 2.5x, providing a good balance between visual acuity and field of view. However, for those requiring greater detail, 3.3x - 3.5x may be a suitable alternative.
What is the difference between SurgiTel and Orascoptic?
The beam of Orascoptic's TruColor LED lights has a stronger blue spectral component than the beam of SurgiTel's True Color neutral LED lights. Thus Orascoptic's TruColor LED lights can create significantly more blue light hazard than SurgiTel's True Color neutral LED lights.
What are the disadvantages of dental loupes?
There are some disadvantages that limit the use of loupes among dentists: lack of fixed position (fine movements of the dentist's head disturb the image of the magnified operating field); the need to change the loupes to achieve different magnification.
What is the best loupes magnification for dentists?
Ideal magnification: For general dental and hygiene work, 2.5x magnification is universally recommended. For more detailed work (eg endodontics), a higher magnification such as 3.5x and beyond is advised.
How long should loupes last?
Loupes should last for many years. When I hear a company state they offer a 90-day warranty, I cringe. There is a variety of warranty plans, ranging from 90 days to a lifetime on each part. Don't be afraid to ask what is not covered under a lifetime warranty, or what is not covered under any warranty.
How do I choose a dental loupe?
Here are some key guidelines to keep in mind whether you're upgrading or buying your first set. Magnification. With magnifications ranging from 2.5x to 6.0x the selection of loupes on offer can seem overwhelming. ... Resolution. ... Depth of Field. ... Field of View. ... Light. ... Weight. ... Style.
Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
If you believe that this page should be taken down, please follow our DMCA take down process here.