Fla. Admin. Code Ann. R. 64B12-10.0065 - Duplicate Prescription Form

The duplicate prescription form referred to in section 484.012, F.S., shall contain a place for the following:

(1) Name of the client.
(2) Name of the prescribing doctor.
(3) The date of the original prescription.
(4) The sphere.
(5) The cylinder power.
(6) The axis.
(7) The prism power.
(8) The reading power.

Notes

Fla. Admin. Code Ann. R. 64B12-10.0065

Rulemaking Authority 484.005, 484.012 FS. Law Implemented 484.005(1), 484.012(2) FS.
New 12-6-79, Amended 8-30-84, Formerly 21P-13.01, 21P-13.001, 21P-10.0065, 61G 13-10.0065, 59U-10.0065, Amended 8-6-97.

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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