Spectacle and Contact Lens Prescription Release Form
NC Optometry Board policy on Release of Contact Lens Prescriptions
To report a violation provisions of the Fairness To Contact Lens Consumers Act (Public Law 164.108) relating to the unauthorized filling of an expired or otherwise invalid contact lens prescription to the Federal Trade Commission go to www.ftc.gov and click on FILE A COMPLAINT at the top of the page. Complete the form beginning with "How Do We Reach You". Supply all pertinent information and in the space at the end of the form where it asks for an explanation of the problem state the complaint in an exact and factual manner.
If you have been injured by the unauthorized filing of a contact lens prescription, please complete this form.
All documents available on this page are in Adobe PDF format. If you do not have Adobe PDF installed in your system, please go to www.adobe.com/products/acrobat/readstep.html to download the free reader.
FAIRNESS TO CONTACT LENS CONSUMERS ACT