• Contact lenses are medical devices that require additional testing to ensure safety and an accurate prescription. An annual contact lens evaluation is required every year for all contact lens wearers in order to prescribe contacts. The fee for this evaluation is separate from the fee for the routine eye exam and is not refundable. Some vision plans do cover all or part of this fee, while others do no. Any amount not covered by your vision plan is due in full at the time of service.
  • Contact Lens Evaluation Fee:

    - New patient soft lens evaluation: $95-$125
    - Established patient soft lens evaluation: $69-$89
    - New Patient RGP/Duette evaluation: $195-$225 **
    - Established patient RGP/Duette evaluation: $125-$145 **
  • The exact fee within these ranges depends on the exact type of lens and complexity, and will be determined by your doctor. If you have questions about the expected fee for your evaluation, you can discuss that with your doctor.

    ** Please note that trials lenses are not available for custom products like rigid gas permeable (RGP) and Duette Lenses, as well as for some conventional replacement soft lenses. Therefore, you must purchase a pair of lenses at the time of your evaluation and these will be used to evaluate the fit and performance. In the even you are not satisfied with custom lens, they can be exchanged with the lab or returned for a refund within 60 days; however, the evaluation fee itself is not refundable.
  • The contact lens evaluation fee includes:

    1. All of the necessary measurements required to determine the right fit and prescription for you.

    2. Any training necessary for the insertion and removal of your lenses.

    3. Any follow ups needed to finalize the prescription of your contact lenses, or to address issues you may be having with your lenses.

    4. Trial pair (if needed/indicated).

    The contact lens evaluation does not include your annual supply of contact lenses, which can be ordered after the prescription has been finalized. It also does not include medical office visits for issues unrelated to the evaluation of your contact lenses, like dry eye, eye infection, injuries and ocular disease.
  • By signing this form, you are acknowledging that:

    - Contact lens evaluation fees are non-refundable and payment is due at time of service.

    - Your prescription is valid for one year.

    - Proper care of your lenses is expected. Failure to properly care for your lenses may result in numerous eye problems, such as corneal ulcers and potential loss of vision.
  • Date Format: MM slash DD slash YYYY
  • Contact Lens Care

    Do:

    - Always wash and thoroughly dry your hands before handling contact lenses.

    -Carefully and regularly clean contact lenses as directed by your optometrist.

    -If recommended, run the contact lenses with your fingers and rinse them thoroughly before soaking the lenses overnight in the solution recommended by the doctor that completely covers each lens.

    -Store lenses in the proper lens storage case, and replace the case at least every three (3) months. Clean the case after each use and keep in open and dry between cleanings.

    -Use only fresh solution to clean and store contact lenses. Never reuse old solution.

    -Always follow the recommended contact lens replacement schedule prescribed by your optometrist.

    -Remove contact lenses before swimming or entering a hot tub.

    -See your optometrist for your yearly contact lens evaluation and eye exam.

    Don’t:

    - Do not use cream soaps. They can leave a film on your hands that can transfer to the lenses.

    -Do not use tap water to wash and store contact lenses or lens cases.

    -Do not use homemade saline solutions. Improper use of homemade saline solutions has been linked with a potentially blinding condition among soft lens wearers.

    -Do not put contact lenses in your mouth or moisten them with saliva, which is full of bacteria and a potential source of infection.

    -Do not share lenses with others.

    -Do not use products not recommended by your optometrist to clean and disinfect your lenses. Saline solution and rewetting drops are not designed to disinfect lenses.

    -Do not sleep in contact lenses after being exposed to pools, lakes, oceans, hot tubs, or other sources of water that can contact bacteria.

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