Stanford University Laser Safety Manual

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Appendix A - Preplacement laser eye examination procedures at Palo Alto Clinic
Appendix A1 - Statement declining preplacement laser eye examination
Appendix D - Laser safety measures for high powered (class 3 and 4) lasers
Back Cover - Simplified Method for Selecting Laser Eye Protection for Intrabeam Viewing

 
Appendix A - Preplacement laser eye examination procedures at Palo Alto Clinic

After requesting and receiving supervisorial approval for the preplacement examination, phone the Eye Department at the Palo Alto Medical Clinic to make an appointment. Patient is to request a "preplacement laser eye examination". (Phone 853-2974.)

At the time of the appointment, the employee will take a properly signed Rapid Purchase Order (SU25) to the Palo Alto Clinic, 300 Homer Avenue, Palo Alto. The requesting department is to fill out the account number to be charged and other blanks on the SU25 form in the usual way. Indicate on the form that the service to be provided is the "Preplacement Laser Eye Examination." The cost of the examination is approximately $150, including fundus photography.

Note: Be sure to arrive at least 30 min early to complete the registration forms at the clinic.

[ON-LINE Preplacement Laser Eye Examination Form]