For optometrists
Exam booking for optometrists, with the pre-exam questionnaire filled at home.
A questionnaire answered at home shortens the visit. Last exam, glasses or contacts, symptoms, known conditions. Every answer stays on a database that is only yours.
Book a free call30 minutes · we set it up with your form · no commitmentWhat your clients fill in before they come
Free to print. The same questions they answer on their phone when they book online.
When was your last eye exam? *
Do you wear *
- Glasses
- Contact lenses
- Neither
Any of these lately?
- Blurry vision
- Headaches
- Dry or itchy eyes
- Flashes or floaters
- Double vision
- None
3 more questions and the consent statement
What it costs
Example prices at our published rate. Your exact price comes from the free call, in writing.
- Essential$2,700 to $4,500Your form, your calendar, deposits and reminders.
- Connected$4,500 to $8,100Plus your accounting or your calendar app, and your own rules.
Or from $250 a month for 12 months, then it is yours. Start from your budget
Also built for optometrists
Questions
01What does the pre-exam questionnaire ask?
Date of the last exam, glasses or contact lenses, current symptoms, known eye conditions, diabetes yes or no, and medications. Nothing that amounts to a diagnosis or an insurance number.
02Where does the health information live?
On a database that belongs to your clinic alone. The booking software is delivered as your own installation, not a seat on a shared platform.
03Is the form legal advice?
No. It is a starting point. Have it reviewed against your province's or state's rules before use.
Next step
Book a free call. Bring nothing.
We look at how you take bookings today and set the software up with your form. You get an exact price in writing. You pay nothing until you say yes.
This sheet comes with your booking · Pre-exam questionnaire
