CRT® Certification Test

Thank you for your interest in Paragon CRT®, the benchmark in corneal reshaping. It's an exciting time to get involved in one of the fastest growing modalities in the contact lens market.

To begin your CRT Certification test please continue below.

Step 1 of 3
Practitioner Name * First Last
Job Title *
Practice Name *
Practice Address *
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Office Phone * - (###) - ### ####
Fax Number * - (###) - ### ####
Email *
If your practice is affiliated with a Buying Group, please list them below:
Step 2 of 3

To complete your CRT® Certification, please choose the method that you wish to to fit CRT in your practice.

Please choose ONLY ONE method of fitting.
OPTION 1
100 Lens CRT Diagnostic Dispensing System (DDS)

I am a licensed practitioner seeking Paragon CRT Certification. I am ordering the "Risk Free" Paragon CRT Diagnostic Dispensing System (DDS) for my use. I agree to keep the DDS filled for immediate dispensing and agree to permit periodic access to the DDS by an Authorized Paragon Vision Sciences Representative so they may audit the DDS and place necessary lens replacement orders to meet the set or filled requirement of 100 lenses.
OPTION 2
CRT® SureFIT®

I am a licensed practitioner seeking Paragon CRT Certification. I would like to be eligible to order CRT® SureFit®, or order empirically under the Warranty Program. I understand the DDS is the preferred method of fitting and I am eligible to purchase the 100-Lens DDS at anytime once I am certified. Please set my account up to order CRT SureFit, or under the Warranty Program Yes, I want the CRT Technical Kit and agree to pay $50. Kit includes: Wratten Filter, CRT Slide Rule, Order Forms, Fitting Guide.
CRT SureFit provides certified practitioners a single-use, 3-lens per eye fitting and dispensing system which will ensure a high probability of Day-1, first fit success with Paragon CRT.
OPTION 3
Non Purchase (Choose ONE BOX below) I am a licensed practitioner or state certified contact lens fitter seeking Paragon CRT Certification and will be utilizing another Certified CRT practitioner's DDS. **Paragon will call to verify. I am an Optometric student seeking Paragon CRT Certification and understand I will have to recertify when I begin practicing optometry.
Choose your Primary Authorized CRT Distributor *

Paragon will manufacture and ship all CRT related products directly to your office. We require that your account is billed through a primary or secondary Authorized Paragon CRT Distributor.
Where do you plan to establish your global fee for CRT in your practice? (For Both Eyes) $599 - $699 $700 - $899 $900 - $1,199 $1,200 and up
This section begins the CRT® Certification Test.
1. What is the approximate thickness of the corneal epithelium? *
2. What is the fixed Optic Zone diameter in the BC of Paragon CRT? *
3. Which parameter in Paragon CRT is never adjusted to change the fit or centration of the lens? *
4. What is the target ROL (Refraction Over Lens) with Paragon CRT? *
5. If the ROL is -1.00D, what adjustment should be made in the BC to achieve a Plano ROL? *
6. Which of the following would indicate the Paragon CRT lens with the greatest sagittal depth? *
7. Of the following, which is the best option to improve centration of a superiorly positioned Paragon CRT lens? *
8. Of the following, which is the best option to improve centration of an inferiorly positioned Paragon CRT lens? *
9. Return Zone Depths are available in micron increments of: *
10. A one degree change in LZA affects overall sagittal depth by *
11. At dispensing, the LZA reflects an insufficient amount of edge lift. What adjustment is needed? *
12. At dispensing, the LZA reflects an excessive amount of edge lift. What adjustment is needed? *
13. What is the age restriction for prescribing Paragon CRT? *
14. After dispensing, when should you see the patient for their follow up visit to ensure proper centration & treatment? *
15. How long is the average treatment period for a new Paragon CRT lens wearer? *
16. When using the CRT Slide Rule, what two components are needed to determine the initial Paragon CRT lens? *
17. The design of the Landing Zone will allow: *
18. Who would be considered a candidate for CRT based on our FDA approval? *
Thank you for completing the CRT Certification Test.
Would you like to receive our quarterly newsletter and periodic email updates regarding CRT? *
Why have you chosen to integrate CRT into your practice and take the CRT Certification Test today? Received A Paragon E-mail Newsletter CRT® Advertisement in Contact Lens Spectrum Patient Inquiry Meeting With A CRT Distributor Sales Representative Received a CRT Distributor Promotional Offer Recently Attended A State or National Trade Show Possibility of Myopia Control
State License #
The electronic signature below is the legally binding equivalent to my handwritten signature and was executed with the intent to sign this document. * First Last

CRT® Certification Test

CRT® Certification Test

Step 1 of 3

Step 2 of 3 To complete your CRT® Certification, please choose the method that you wish to to fit CRT in your practice. Please choose ONLY ONE method of fitting.

This section begins the CRT® Certification Test.

Thank you for completing the CRT Certification Test.

Step 2 of 3

To complete your CRT® Certification, please choose the method that you wish to to fit CRT in your practice.

Please choose ONLY ONE method of fitting.