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8044001 PVMF PIB - Bausch + Lomb

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Eye Care Professional Information<br />

(Please fill out for ready use)<br />

Name: _______________________________________________________________________________________<br />

Address: _____________________________________________________________________________________<br />

Phone: _______________________________________________________________________________________<br />

Other Information: ____________________________________________________________________________<br />

_____________________________________________________________________________________________<br />

_____________________________________________________________________________________________<br />

_____________________________________________________________________<br />

Important: In the event that you experience any difficulty wearing your lenses or you do not understand the<br />

instructions given you, DO NOT wait for your next appointment. TELEPHONE YOUR EYE CARE PROFESSIONAL<br />

IMMEDIATELY.<br />

Name and Address of Manufacturer:<br />

<strong>Bausch</strong> & <strong>Lomb</strong> Incorporated<br />

Rochester, New York 14609<br />

Store lenses at room temperature (60°F - 80°F, 15°C - 25°C)<br />

27

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