The College of Optometrists

Key points

  • Immediately after carrying out an NHS or private sight test you must issue a prescription or a statement indicating that no prescription is necessary.
  • If there is no clinically significant change in the prescription, you must issue the prescription and a statement saying that there is no clinical change.
  • You must only prescribe, or recommend a change of, spectacles when it is in the patient’s best interests to do so.
  • If you make a small change to an existing prescription, you must be clear about the benefit of the change and keep a record of the reason and any advice given.
  • The pupillary distance measurement is not part of the prescription.
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This Guidance does not change what you must do under the law.

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