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.

 

Release of Spectacle and Contact Lens Prescriptions (Revised March 29, 2008)

 

FAIRNESS TO CONTACT LENS CONSUMERS ACT

Public Law 164.108 (December 6, 2003)

Information is believed to be accurate but not guaranteed.

The State of North Carolina and the North Carolina State Board of Optometry disclaims liability for any errors or omissions.

To verify any information please contact:

 

North Carolina State Board of Optometry

109 North Graham Street Wallace, NC 28466

(910)-285-3160

(910)-285-4546 Fax