Dynamic
Vision
Constantia
Intake
Clinical Notes
Refraction
Recommendation
Second Pair
Handoff
Step 1
Patient intake
Enter the patient's name to load their pre-consultation answers. If they didn't complete the form, fill in manually.
Load →
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Manual override — lifestyle notes
Screen heavy
Night driving
First-time progressive
Experienced progressive
Outdoor
Budget-sensitive
Premium
High adaptation
Continue to Clinical Notes →
Step 2
Clinical notes
Record the key findings and discussion from the consultation.
Chief complaint
Blurred distance
Blurred near
Eye strain
Progressive difficulty
Routine
Dry eyes
Ocular health findings
Ant. segment clear
Post. segment clear
IOP normal
Dry eye signs
Early cataract
Referred
OCT normal
VF normal
Additional notes & discussion
Continue to Refraction →
Step 3
Refraction
Enter the final corrected prescription.
Prescription
Sphere
Cyl
Axis
VA
OD
OS
Add (Near)
PD (mm)
Index recommended
Auto
1.5
1.6
1.67
1.74
Frame & lens type
Frame type
Select...
Full rim
Nylon / semi-rim
Rimless
Not yet selected
Lens category
Select...
Progressive
Single vision
Office lens
Bifocal
SV — Contact lens Rx
Continue to Recommendation →
Step 4
Lens recommendation
Select the recommended tier and configure lens details. The patient will see a clean version of this.
Recommended tier
Good
Standard design
Reliable everyday option. Good for budget-conscious patients or simpler visual demands.
Better
Wide-field design
Wider viewing zones for all-day comfort. Most commonly chosen by regular wearers.
Best
Maximum-field design
Widest field of vision, easiest adaptation. Ideal for heavy wearers and screen users.
Lens configuration
Supplier
Seiko
Hoya
Essilor
Zeiss
Shamir
Lens design / product
Index
From Rx above
1.5
1.6
1.67
1.74
Coating tier
Standard AR
Premium AR
Ultimate AR (SRC Ultra)
Blue light + AR
Photochromic + AR
Tint / photochromic
None
Photochromic
Light tint
Polarised
Price list
Discovery Non-Network
Medical Aid
Private
Recommendation notes for dispenser
Tiers discussed
Leaning best
Show lower tiers
First-time — adaptation
Blue light priority
Continue to Second Pair →
Step 5
Second pair
Record whether a second pair was discussed and recommended.
Second pair recommended
Was a second pair discussed and suggested?
Second pair type
Office / intermediate lens
Single vision PC lens
Single vision reading
Single vision distance
Prescription sunglasses
Spare pair
Reason
Heavy computer use
Driving comfort
Outdoor / sport
Reading comfort
Backup pair
Supplier
Seiko
Hoya
Essilor
Zeiss
Shamir
Lens design / product
Index
1.5
1.6
1.67
1.74
Coating tier
Standard AR
Premium AR
Ultimate AR (SRC Ultra)
Blue light + AR
Photochromic + AR
Tint / photochromic
None
Photochromic
Light tint
Polarised
Price list
Discovery Non-Network
Medical Aid
Private
Second pair notes
Contact lens discussion
Were contact lenses discussed?
CL Supplier
Johnson & Johnson
Alcon
CooperVision
Bausch + Lomb
Other
Lens design / product
Base curve (BC)
Wear schedule
Daily disposable
Monthly disposable
2-weekly disposable
Extended wear
Contact lens prescription
OD Sphere
OD Cyl
OD Axis
OS Sphere
OS Cyl
OS Axis
Add (if multifocal CL)
Additional CL notes
Follow-up required
Does this patient need a follow-up appointment?
Follow-up timeframe
1 week
1 month
3 months
6 months
12 months (routine)">12 months (routine)
Reason
Generate Dispensing Handoff →
Step 6
Dispensing handoff
This is the structured summary for your dispenser. Print it or hand them the iPad.
Print
New Consultation
✓ Consultation saved to your Netlify dashboard under
consultation-record