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8044001 PVMF PIB - Bausch + Lomb

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Check-Up Visits<br />

Regular check-up examinations by your eye care professional are an important part of wearing contact lenses.<br />

It is recommended that you follow your eye care professional’s directions for follow up examinations. Keep<br />

all appointments for your check-up visits. If you move to a new city, ask your present eye care professional<br />

to refer you to a contact lens eye care professional in your new location. Use the space below to record your<br />

appointments.<br />

Visit Schedule<br />

1. ______________________________________________________________________________<br />

Date Time<br />

2. ______________________________________________________________________________<br />

Date Time<br />

3. ______________________________________________________________________________<br />

Date Time<br />

4. ______________________________________________________________________________<br />

Date Time<br />

5. _____________________________________________________________________________<br />

Date Time<br />

25

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