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The Program Fee Includes the Following:
- Eye exam measuring the prescription of the child’s eyes
- In person visit four times during the course of the 12 months and at least twice a year thereafter
- Perform the axial length measurement scan at each visit, which assesses how much the myopia has or has not progressed at the retinal level.
- Conduct training on how to properly instill the drops as to optimize efficacy and minimize wastage.
- Behavioral questionnaire measurement tool, where we assess how much screen time, outdoor play, study posture has changed over the course of the program.
- ALL topography, ultrasound and vision testing
- 24/7 communications necessary between parent/patient and staff/Doctor
- Behavioral coaching through emails/messages that help parent & patient implement natural behavioral changes needed to support myopia management at home
Looking Ahead: Year 2 and beyond: We offer a Myopia Care Maintenance Program which includes:
- Two follow up appointments
- ALL topography, ultrasound and vision testing as needed
- A comprehensive eye exam
- Any additional training & learning
- Behavioral coaching messages to support natural changes of behavior in the home
The Program Fee Does NOT Include:
- Supply of Atropine Drops.
Initial consultation with the doctor, this service fee is
If rare circumstances prevent you from continuing your treatment during the first three months of care, we will gladly refund all fees paid, less
- Be on time. Arriving late will create the need for your appointment to be rescheduled.
- When you need to cancel or reschedule an appointment, inform us at least 48 hours before the appointment. A fee will be imposed if insufficient time is given.
- Do the homework and preparation that is needed for maximum success for the program including viewing training videos and reading materials.
I have read, understand and agree to the terms noted above.
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Atropine Drops Therapy
You are being prescribed Atropine Drops, which help to manage myopia progression.
Complications and Side Effects
Atropine drops carry
I have read and fully understand the above information. I agree to adhere to the schedule and dosage strength of prescribed Atropine Drops and follow-up schedules as prescribed. If I fail to return for my scheduled follow-up visits, I may forfeit my chance to continue Myopia Care program. All of my questions concerning my eyes and atropine drops have been answered to my satisfaction.
(Parent to sign if patient is under 18 years of age)
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