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.
No patient loaded yet. Enter a name above or fill in manually below.
Manual override — lifestyle notes
Screen heavy
Night driving
First-time progressive
Experienced progressive
Outdoor
Budget-sensitive
Premium
High adaptation
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
Step 3
Refraction
Enter the final corrected prescription.
Prescription
Sphere Cyl Axis VA
OD
OS
Frame & lens type
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
Recommendation notes for dispenser
Tiers discussed
Leaning best
Show lower tiers
First-time — adaptation
Blue light priority
Step 5
Second pair
Record whether a second pair was discussed and recommended.
Second pair recommended
Was a second pair discussed and suggested?
Contact lens discussion
Were contact lenses discussed?
Contact lens prescription
Follow-up required
Does this patient need a follow-up appointment?
Step 6
Dispensing handoff
This is the structured summary for your dispenser. Print it or hand them the iPad.