Get Record Card Contact Lens Fitting Data Patient File Date Keratometry Low K - Iacle

Completing the RECORD CARD Contact Lens Fitting Data form is crucial for accurately recording contact lens fitting information. This guide provides step-by-step instructions to ensure that users can effectively fill out this important document online.

Follow the steps to accurately complete the form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Start by filling in the patient’s name and file date at the top of the form. Ensure the information is current and accurately reflects the patient being fitted.
3. Proceed to the Keratometry section, filling in the Low K and High K values in diopters (D) and millimeters (mm). This information is vital for selecting appropriate contact lenses.
4. Enter the current subjective refraction values for both the right (R) and left (L) eyes, noting the measurements for visual acuity as indicated.
5. Specify the predicted lenses in the designated area. Check the appropriate box for either Rigid Gas Permeable (RGP) or Soft lenses.
6. Complete the trial lenses section, listing the parameters such as back optical zone radius (BOZR), spherical equivalent (SCR/W), and any special design requirements.
7. For the pattern and the appearance of mires, record observations for both eyes, ensuring to differentiate left from right.
8. Fill out the retinoscopy values for sphere and cylinder for both eyes, and complete the balanced subjective refraction section with the best sphere values.
9. Select the final lens design you are recommending, indicating whether it is Rigid Gas Permeable or Hydrogel, and circling the relevant specifications.
10. Lastly, include any additional information in the notes section, and ensure that a next appointment date, along with signatures from both the student and instructor are completed.
11. Once all fields are completed, users can save changes, download, print, or share the form as needed.

Complete your records online to ensure precise contact lens fittings.