Saved to the practice — visible to your staff on any computer, but never part of the chart that prints or faxes.
Check all that apply.
Personal history of eye conditions or surgery.
None added.
None added.
None added.
| SC | CC | |
|---|---|---|
| OD | 20/ | 20/ |
| OS | 20/ | 20/ |
| OU | 20/ | 20/ |
Near (SC)
| OD | |
| OS |
Pupils
EOM / CVF
Auto-Refraction
| Sph | Cyl | Axis | |
|---|---|---|---|
| OD | |||
| OS |
Lensometry (Habitual Rx)
| Sph | Cyl | Axis | Add | |
|---|---|---|---|---|
| OD | ||||
| OS |
Manifest Refraction
| Sph | Cyl | Axis | Add | VA | |
|---|---|---|---|---|---|
| OD | 20/ | ||||
| OS | 20/ | ||||
| OU | 20/ | ||||
Prism
| Horizontal | Vertical | |
|---|---|---|
| OD | ||
| OS |
OD
OS
Attach retinal, anterior-segment, OCT, or external photos. Each is saved to the chart with its order (the diagnosis it was taken for) and your interpretation.
Need a follow-up?
Opens the scheduling form pre-filled with this patient, +7 days.
Issue a signed prescription for this encounter. Use the pre-fill button to copy from manifest refraction.
No glasses prescriptions yet. Add one for each pair the patient needs (e.g. Distance, Near, Reading).