Eye Glasses Prescription
Record for Eye glasses prescription
By
AnyDB
The Eye Glasses Prescription Template in AnyDB is designed for optometry practices, vision centers, and health providers to accurately capture and manage individual eyeglass prescriptions. This template ensures consistent recording of patient vision data in a structured, standardized format.
Suitable for
Description
This template provides a clear, form-based layout for recording all critical elements of a patient’s prescription. It includes fields for patient details, physician information, prescription values for each eye (right and left), and optional notes. Each component of the prescription—such as Sphere (Sph), Cylinder (Cyl), Axis, Prism, Add, and PD (Pupillary Distance)—is laid out in a tabular format to mimic the familiarity of traditional vision forms.
There are also designated areas to record the date of issue, expiry date, address, city, state, and additional RX notes for specific use cases like reading or bifocals.
Key Data Stored
- Patient Name and Address
- Physician Name and License #
- Prescription Date and Expiry Date
- Right and Left Eye Details: Sph, Cyl, Axis, Prism
- Add (for multifocal correction)
- PD (Pupillary Distance)
- Prescription Notes (e.g., Reading)
- Optional comments or provider remarks
Business Use Cases
- Optometrists and Eye Clinics for managing and retrieving patient prescriptions
- Retail Optical Stores for verifying and fulfilling eyeglass orders
- Telehealth Platforms needing structured visual health data
- Medical Records Teams maintaining vision prescription archives
- Insurance Auditing for verifying issued prescriptions
Why This Template is Powerful
- Complete Coverage: Captures every field needed for standard prescription fulfillment
- Structured & Familiar Format: Mirrors traditional forms for easy data entry
- Digitally Trackable: Allows quick access to patient prescription history
- Secure & Shareable: Easily shared with patients or optical vendors using AnyDB’s secure links
- Customizable: Can be extended with linked records for follow-ups, insurance, or billing