Check-Up Visits; Visit Schedule; Eye Care Professional Information - Bausch & Lomb PuerVision2 Quick Start Manual

CHeCk-uP Visits

Regular check-up examinations by your eye care professional are an important part of wearing contact lenses.
It is recommended that you follow your eye care professional' s directions for follow up examinations. Keep all
appointments for your check-up visits. If you move to a new city, ask your present eye care professional to refer you
to a contact lens professional in your new location. Use the space below to record your appointments.

Visit sCHedule

1. __________________________________________________________________________________
Date
2. _________________________________________________________________________________
Date
3. ________________________________________________________________________________
Date
4. ________________________________________________________________________________
Date
5. ________________________________________________________________________________
Date
6. ________________________________________________________________________________
Date
7. ________________________________________________________________________________
Date
8. ________________________________________________________________________________
Date
9. ________________________________________________________________________________
Date
10. _______________________________________________________________________________
Date

eye Care Professional information

Please fill out for ready use
Name: _____________________________________________________________________________
Address: ____________________________________________________________________________
Phone: _____________________________________________________________________________
Other Information: _____________________________________________________________________
IMPORTANT: In the event that you experience any difficulty wearing your lenses or you do not understand
the instructions given to you, DO NOT WAIT for your next appointment. TELEPHONE YOUR EYE CARE
PROFESSIONAL IMMEDIATELY.
Time
Time
Time
Time
Time
Time
Time
Time
Time
Time
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