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Form · OPT-FRM-003 · Version 1.0 · Approved by the ASF Expert Committee

Supports: Standard 15 (Optical and Hearing), criterion 15.4

Purpose

Records the hygiene teaching given to each contact lens or hearing aid user, and the check.

How to complete

Checks

Check Entry
Device type (contact lens or hearing aid) Yes
Cleaning and care steps taught Yes
Patient shows or says back the steps Yes
Repeat teaching at review (date) Yes or N/A
Taught by and date Yes

Evidence

Reference Note
E-009 Based on the WHO World report on vision (2019) and the WHO World report on hearing (2021).
E-006 ASF Policy Framework v1.2. Adapted.
E-009 ASF Expert Committee consensus.

Change history

Version Date What changed Approval
1.0 the date of approval First version set Expert Committee approval

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