Arizona State Board Of Optometry Practice Exam

What information is NOT required on the uniform prescription form?

1. Fax number

2. Licensee's signature

3. Licensee's address

4. Licensee's telephone number

The correct answer is: Licensee's signature

The uniform prescription form is a standardized document used in optometry and other medical fields to ensure that all necessary information is included when a prescription is issued. One important characteristic of this form is that it includes essential information about the prescribing professional to validate and process the prescription effectively. The licensee's signature is crucial on a prescription form as it serves as an acknowledgment that the licensee has reviewed and authorized the prescription, ensuring accountability and compliance with regulations. However, while many practices may include their licensee's signature as a matter of procedure, the requirement for a signature may not be explicitly mandated in all contexts, leading to the option being the correct answer for what is NOT required. In contrast, including the licensee's address, telephone number, and fax number serves practical purposes. These contact details facilitate communication, verification, and follow-up, ensuring that pharmacies and patients can easily reach the prescribing optometrist if necessary. The presence of this information also helps maintain a clear record in case any issues arise regarding the prescription or patient care.