Contact Lens Fitting Consent & Prescription Verification Form

Professional Contact Lens Fitting Consent Form for Optometry Practices

Finding the right balance between thorough documentation and patient experience is critical for optometry practices, especially when fitting contact lenses. This Contact Lens Fitting Consent & Prescription Verification Form gives optometrists and eye care professionals a complete solution for managing the entire contact lens fitting process—from initial consent through prescription verification, risk disclosure, care instructions, and follow-up scheduling.

Built for optometry workflows

Contact lens fittings involve more than just writing a prescription. You need documented consent for the fitting process itself, clear communication about proper lens care, infection risks and complications, and a system for scheduling essential follow-up appointments. This template covers all those bases in one streamlined form that patients can complete before or during their appointment.

The form walks patients through:

• Personal and vision history to establish baseline information
• Prescription verification to ensure accuracy and legal compliance
• Informed consent covering fitting procedures and potential risks
• Infection risk acknowledgment including proper hygiene and warning signs
• Care instruction confirmation so patients understand cleaning and replacement schedules
• Follow-up appointment scheduling to monitor eye health and lens fit

Why Paperform for optometry practices

As a SOC 2 Type II compliant platform, Paperform provides the security optometry practices need when handling patient health information (though it's not HIPAA compliant, so practices should assess their specific compliance requirements). The professional design capabilities mean your forms can match your practice branding while maintaining the clinical clarity patients expect.

With conditional logic, you can tailor questions based on whether patients are first-time wearers or experienced users, show different care instructions for daily disposable versus monthly lenses, or route urgent concerns to your clinical team immediately.

Automate your post-fitting workflow with Stepper

Once a patient submits their consent form, Stepper can automate everything that comes next. Create a workflow that:

• Sends appointment confirmation emails with preparation instructions
• Adds follow-up appointments to your practice management system
• Triggers reminder SMS messages for lens care and replacement schedules
• Flags high-risk patients (first-time wearers, history of infections) for additional monitoring
• Updates patient records across your clinical software

This automation ensures nothing falls through the cracks between fitting and follow-up—critical for preventing complications and maintaining positive patient outcomes.

Built for eye care professionals

Whether you're a solo practitioner, part of a multi-location practice, or managing a busy optical clinic, this template adapts to your workflow. It's particularly valuable for practices that want to improve patient education, reduce liability risks, and create a paper trail that demonstrates proper informed consent procedures.

Trusted by healthcare providers worldwide, Paperform combines professional form building with the automation capabilities growing optometry practices need to deliver excellent patient care efficiently.