64B12-10.0065, F.A.C.
64B12-10.0065. Duplicate Prescription Form
Cite as Fla. Admin. Code r. 64B12-10.0065
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.