City State Case Report Title of Case Report History Use patient initials Background on patientoccupation as it relates to vision correction needs Brief history of vision correction ID: 776592
Download Presentation The PPT/PDF document " Dr. Name/Title Practice Name" is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.
Slide1
Dr. Name/Title
Practice NameCity, State Case Report: “Title of Case Report”
History:
Use patient initials
Background on patient/occupation as it relates to vision correction needs
Brief history of vision correction
Why interested in change
Habitual Lenses
:
visual acuity, contact lens brand wearing, prescription
Subjective Refraction:
OD
OS
Refraction learnings
Slide2Initial trial lenses were for
NaturalVue
Multifocal:
NaturalVue
Multifocal OD:
NaturalVue
Multifocal OS:
Follow up report of what happened:
Second trial lenses if necessary:
NaturalVue
Multifocal OD:
NaturalVue
Multifocal OS:
Follow up:
Patient Reaction:
Doctor consulting disclaimer:
Doctor background (education, experience, special status, i.e.
diplomate
); associations and offices held; relationships to Companies, i.e. paid speaker for ABC Company
References (if any used – APA format)
Revision Code: MKT-XXX-XXX
rX
Other:
Ask for headshot (or pull from practice site).
Must have signed valid consent release on file (copy should accompany or be referenced as piece is processed through copy approval)
Doctor must be provided a proof with opportunity to edit prior to copy approval submission and publication