64B12-10.0065. Duplicate Prescription Form

Effective on Wednesday, August 6, 1997

1The duplicate prescription form referred to in Section 9484.012, F.S., 11shall contain a place for the following:

18(1) Name of the client.

23(2) Name of the prescribing doctor.

29(3) The date of the original prescription.

36(4) The sphere.

39(5) The cylinder power.

43(6) The axis.

46(7) The prism power.

50(8) The reading power.
54Specific Authority 56484.005, 57484.012, 58484.013 FS. 60Law Implemented 62484.005(1), 63484.012(2) FS. 65History–New 12-6-79, Amended 8-30-84, Formerly 21P-13.01, 21P-13.001, 21P-10.0065, 61G13-10.0065, 59U-10.0065, Amended 8-6-97.

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