Myopia Care Orthokeratology (Ortho-K) program for your child will be 24 months in length and the fee will be as noted above. This is a one-time fee. During this time, our specialty lens team will work together to provide your child with the most customized care for their myopia management needs.

Patient Name

Date

Parent Email

Parent Name

Doctor

24- Month Fee

Annual Myopia Care Maintenance Program Fee Year 3 And Beyond

The First 2 Year Program Fee Includes the Following:

Looking Ahead:

Lens Replacement Fees:

Guarantee: