|
NEW WEARER
|
Wear time/Problems?
|
|
OD TRIAL
|
|
|
LENS
• • •
|
OTHER
|
|
POWER
|
BC/DIAM
|
|
OS TRIAL
|
|
|
LENS
• • •
|
OTHER
|
|
POWER
|
BC/DIAM
|
|
FIT
|
|
|
Visual Acuity
|
Fit
• • •
|
|
OD Centration
|
OS Centration
|
|
MOVEMENT OD
|
MOVEMENT OS
|
|
Rotation OD
|
Rotation OS
|
|
Comfort OD
|
Comfort OS
|
|
Plan
|
Plan
• • •
|
|
Follow up
|
|
|
ORDER TRIALS
|
|
|
OD
|
|
|
OS
|
|
