WearIng and aPPoInTMenT sCHedules
PresCrIbed WearIng sCHedule
DAY
WEARING TIME (HOURS)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
aPPoInTMenT sCHedule
Your appointments
are on
_______________________________________
Month
_______________________________________
Month
_______________________________________
Month
_______________________________________
Month
_______________________________________
Month
16
Minimum number
of hours lenses to
be worn at time of
appointment day
Y ear
Y ear
Y ear
Y ear
Y ear
Time
Time
Time
Time
Time