To access all features and enjoy the full functionality of this site, please ensure your browser is up-to-date. For IE8 users, the most recent version is IE11.

In-Office Advertising

ACUVUE® MULTIFOCAL – Presbyopia Evaluation Form


This is an evaluation form for patients to complete and evaluate if they have presbyopia. Pre-screening potential presbyopic patients can raise awareness and generate interest in multifocal contact lenses which may increase the number of multifocal contact lens patients in your practice. This form can be used to screen presbyopic patients who are eligible for contact lenses at the front desk, prescreening, and exam room.

How to use:

Click on button below to download this ACUVUE® MULTIFOCAL – Presbyopia Evaluation Form. You can print this resource to hand to your patients in-office. By using this asset, you are agreeing to only use as intended with corresponding references and important safety information. Any use of this asset outside of its intended purpose is unauthorized.

Download Asset