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Chapter 430-5 TREATMENT PLANS; PRESCRIPTION REQUIREMENTS

Rule 430-5-.01 Treatment Plans, Eye Examinations, and Patient Records

(1) Before diagnosing or prescribing a treatment plan for any patient, including prescriptions for glasses, contact lenses or other optical devices, the following must be met and determined:
(a) case history as related by patient; and
(b) any pathological conditions of the eyes, both external and internal with diagnosis recorded; and
(c) the need for any necessary optometric tests to ascertain the final treatment plan.
(2) A comprehensive eye examination includes an assessment of a patient's history, any general medical observations, an external and ophthalmoscopic examination, an assessment of gross visual field, visual acuity, ocular alignment and motility, refraction, and, binocular vision and accommodation, a diagnosis, if applicable, and a plan of treatment.
(3) The written and/or electronicrecord of the above determination of each patient examined shall be maintained by the licensed doctor of optometry for seven (7) years from initiation and be made available to the Board or its authorized agents for inspection at any reasonable time.

Rule 430-5-.02 Contents of Prescriptions for Contact Lenses

(1) A contact lens is any device placed on the anterior of the surface of the eye for refractive, cosmetic, diagnostic or therapeutic purposes.
(2) All parameters for fabrication of the lenses must be included.
(3) Prescription for contact lenses shall clearly state an expiration date of not more than one (1) year past the date the lens specifications were determined and a date of less than one (1) year from the date the lens specifications were determined is permissible only when indicated by a patient's medical condition that affects the patient's vision or a refractive problem. No doctor of optometry shall replace contact lenses from data, which is more than three (3) years past the date the lens specifications were determined. No doctor of optometry shall replace contact lens from data, which is more than three (3) years old, nor shall he/she provide the specifications, which would enable another provider to replace such lenses. He/She may provide such expired specifications to another licensed doctor of optometry, medicine, or doctor of osteopathy for the purpose of adding to a new data base from which to determine new lens specifications.

Rule 430-5-.03 Treatment Plans-Co-Management

(1) Intent- It is the intent of this rule to promote the cooperation of doctors of optometry and other health care providers in the delivery of care to mutual patients within the scope of their respective professional practices.
(2) Nothing in these rules shall be construed to prohibit a therapeutically certified doctor of optometry from co-managing cases which may involve, but are not limited to invasive surgery, laser surgery, and procedures involving oral or injected pharmaceutical agents with health care practitioners whose scope of practice allows them to do these procedures under their own licenses.
(3) Nothing in these rules shall be construed as allowing doctors of optometry to perform procedures not authorized as within the scope of practice found in O.C.G.A. § 43-30-1et seq.
(4) Co-management is defined as the sharing of peri-operative, pre-surgical, post-surgical, and medical management responsibilities between the health care providers for conditions of the eyes and ocular adnexa of patients.
(5) Peri-operative is defined as the period of time extending from when the patient goes into the hospital, clinic, or doctor's office for surgery until the time the patient is discharged home to the extent the doctor of optometry is practicing within the scope of practice found in O.C.G.A. § 43-30-1et seq.

Rule 430-5-.04 Repealed

Rule 430-5-.05 Repealed