PubMed · 7812068
Recordkeeping and contact lens practice.
Abstract
Recordkeeping in contact lens practice may be based on a problem-oriented system that emphasizes the use of forms. Fitting agreements and informed consent agreements are the most important components of such a system. Progress notes are also used to document the episodic care that is an integral part of contact lens practice. Examination findings should be described with descriptive language whenever possible; warnings, diagnoses, patient management, and recall and referral appointments should be conscientiously documented in the record of care.
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J G Classé. 1994. Recordkeeping and contact lens practice.. https://pubmed.ncbi.nlm.nih.gov/7812068/
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