Eye & Contact Lens Factsheets
COLLECTION DECLARATION
1) I have been given a
copy of The Instruction Book. I will read this
and understand the importance of following all
the advice therein.
2) I have been shown how
to handle and care for my lenses and am satisfied
I can insert and remove them.
3) I understand that I
must never use any care products other than those
specifically recommended by THE CONTACT LENS PRACTICE
which are noted in the instruction book.
4) I accept that if I cause
myself eye or lens damage by failure to follow
all the advise given I can not hold THE CONTACT
LENS PRACTICE responsible and the cost of any
replacement lenses or extra practice visits will
be my responsibility.
5) I have been advised
that there are risks to wearing Contact Lenses
if they are not handled correctly or if aftercare
checks are neglected.
6) I understand that if
I experience any unusual or excessive discomfort,
red eyes or visual disturbance I must immediately
stop wearing my lenses and seek professional advise
from THE CONTACT LENS PRACTICE / G.P or a deputizing
locum.
7) I understand that any
lenses loaned to me by THE CONTACT LENS PRACTICE
must be returned within seven days of their request,
failing which, I undertake to pay the cost thereof.
Our professional services will be with drawn in
the event of non-payment of any of our accounts. The Collection Declaration to
be signed on my clinical record acknowledges that
I have read and understood all the preceding precautions.
|
