revital visioninyourpractice

RevitalVision LLC · 1617 St. Andrews Suite 210 · Lawrence, Kansas 66047 www.RevitalVision.com

1RevitalVision in Your Practice

RevitalVisionin Your Practice



What is RevitalVision?

• RevitalVisionrepresentsanewcategoryinvisionimprovement

• Non-invasivetechnologythatenhanceseyesightneurologically

• Averageimprovementof:• 2linesvisualacuity

• 100%incontrastsensitivity



Program Facts

About the program:

• Completedonacomputer,atthepatient’sconvenience,twotothreetimesperweek

• Eachofthe20sessionstakesanaverageof20minutes*

• Customizedtothepatient’spaceandvisualability

• ProfessionallymonitoredbyaRevitalVision™PersonalVisionSpecialist

*Amblyopiatherapyisapproximately40,40minutesessions

PersonalVisionSpecialist



Program Facts

• GaborPatchesweredevelopedbytwoNobelPrizewinners,specificallyphysicist,DennisGabor.

• Widelyusedinthefieldofvisualneuroscience.Gaborpatchesrepresentthemosteffectivestimulationoftheprimaryvisualcortex

• Presentedina“game”formatofchoices

• Eachseriesofvisualtasksiscustomizedtoeverypatient’svisualability.



RevitalVision Treatment Process

examform

BASE

LIN

E EX

AM

FOLL

OW

-UP

EXA

M

FAX FORM TO: 1.877.856.9818

FOLLOWING COMPLETION, FAX FORM TO: 1.877.856.9818

1617 St. Andrews Drive ▪ Lawrence, Kan. 66047 ▪ (p) 866.954.1619 ▪ (f) 877.856.9818 ▪ www.revitalvision.com

EXAM FORM


Patient Name: ______________________________________ Email Address: _________________________________________

Ship to Address: _________________________________Best Contact Phone (home or cell): ____________________________

City: ______________________________________________ Best Time to Call: ______________________________________ State: ________________________ Zip: ______________ Date of Birth: ___/___/____ Examination Date: ___/___/_____

Gender: Male Female

The patient would like to improve (Rank in order 1 = Most important, 4 = least important)

___ Improve Near Vision ___ Improve Far Vision ___ Improve Intermediate Vision ____ Better Overall Vision

PRACTICE NAME/LABEL (required):

Presbyopic Yes No Monovision Yes No Corrective Eyewear Yes No

Distance Eye: OD OS

Patient Surgery HistoryRefractive Surgery Yes No Date ___________ DSAEK Yes No Date _____________OD __OS __OU __OD __OS __OU

Cataract Surgery Yes No Date ___________ Lens Type _______________________________OD __OS __OU

Unaided Distance VA Unaided Near VAVA

OD

OS

VAOD

OS

Manifest Subjective Refraction SPH CYL AXIS Distance VA ADD Near VA

OD

OS

Present Rx Glasses Contact Lenses Contact Lenses/Monovision

Best Corrected Best Corrected

Unaided Distance VA Unaided Near VA

Distance VA ADD Near VA

VAOD

OS

VAOD

OS

Examination Date: ___/___/_____

Doctor Name _________________________________________ Signature_____________________________________



SuggestedRetail:$495Cost to Practice: $250




• Noupfrontcosts.RevitalVisionbillspracticeson30-daycycle.

• RevitalVisionshipsproductdirectlytopatients’home.Practicesdonothavetocarryinventory.

Products and Pricing



Practice and Patient Benefits

• ForALLpatientswantingBRIGHTER, CRISPER, SHARPERvision

• PromoteRevitalVisionpre-surgerytoenhancesurgicaloutcomes

• RevitalVisioncanbecompleted(orsold)anytime,postsurgery

• IncorporateRevitalVisionina“premium”cataractoffering

• Innovativeandeffectivetoolfor:• Postrefractivesurgerypresbyopes

• Nonsurgicalpresbyopes

• Anypatientwhodesires/needsbettercontrastsensitivity• Drusen

• DSAEK

• EarlystageAMD

• Littletonodisruptiontocurrentpracticeprocedures

• Aseasyas“writingaprescription”



Selling Strategies

Strategy #1

Strategy #2

Strategy #3

Inclusive of Premium Sell

• Includedinpremium/lifestylesurgicalglobalfee

• Value-addedservicefordifferentiation

• Improvespatientoutcomes

• Improvesoverall“premium”patientexperience

Elective Purchase Opportunity

• Purchaseinadditiontostandardmonofocalcataractsurgery

• Creates“middle”tierforsurgicaloptions

• Value-addedservicefordifferentiation

• Canbesoldatanytimepost-op

Elective Purchase Opportunity

• Fornon-surgicalpatients

• Presbyopes

• Lowmyopes

• Amblyopes

• SportsVision

• Postrefractive



Marketing Tools

Consumer Brochures Demo CD

Posters Eyemaginations

Marketing Material Ordered Here: http://www.revitalvision.com/DoctorsMarketingMaterials/



Before Prescribing

BeforeprescribingRevitalVision,properdocumentationfromyourpracticeisrequiredbyRevitalVision.Thosedocumentsarefoundinthismanualandinclude:

• PracticeIntegrationSign-UpForm

• SalesAgreement

• HIPPAdocument

OnceRevitalVisionreceivesthesedocuments,yourpracticewillberecognizedasacertifiedRevitalVisionprovider.



Prescribing and Billing

TobeginapatientonRevitalVision,fillouttheexamformandfaxtoRevitalVision(thefaxnumberislocatedontheexamform).

• Yourofficeisresponsibleforcollectingpaymentfromthepatient,andRevitalVisionwillbillyouonceamonth.

examform

BASE

LIN

E EX

AM

FOLL

OW

-UP

EXA

MFAX FORM TO: 1.877.856.9818

FOLLOWING COMPLETION, FAX FORM TO: 1.877.856.9818


EXAM FORM


Patient Name: ______________________________________ Email Address: _________________________________________

Ship to Address: _________________________________Best Contact Phone (home or cell): ____________________________

City: ______________________________________________ Best Time to Call: ______________________________________ State: ________________________ Zip: ______________ Date of Birth: ___/___/____ Examination Date: ___/___/_____

Gender: Male Female

The patient would like to improve (Rank in order 1 = Most important, 4 = least important)

___ Improve Near Vision ___ Improve Far Vision ___ Improve Intermediate Vision ____ Better Overall Vision

PRACTICE NAME/LABEL (required):

Presbyopic Yes No Monovision Yes No Corrective Eyewear Yes No

Distance Eye: OD OS

Patient Surgery HistoryRefractive Surgery Yes No Date ___________ DSAEK Yes No Date _____________OD __OS __OU __OD __OS __OU

Cataract Surgery Yes No Date ___________ Lens Type _______________________________OD __OS __OU

Unaided Distance VA Unaided Near VAVA

OD

OS

VAOD

OS

Manifest Subjective Refraction SPH CYL AXIS Distance VA ADD Near VA

OD

OS

Present Rx Glasses Contact Lenses Contact Lenses/Monovision

Best Corrected Best Corrected

Unaided Distance VA Unaided Near VA

Distance VA ADD Near VA

VAOD

OS

VAOD

OS

Examination Date: ___/___/_____

Doctor Name _________________________________________ Signature_____________________________________



Receiving RevitalVision

AfterRevitalVisionreceivestheexamform.

• RevitalVisionwillshiptheproductwithin24hours;

• YourpatientwillbeassignedaPersonalVisionSpecialist(PVS)onyourpractice’sbehalf.

• ThePVSwillgenerateaUserNameandPassword*forthepatient.Thisinformationisprovidedviaemailwithin24hours.

*AUserNameandPasswordareneededforEACHpatientastheprogramiscustomizedtothatperson’svisualability.Hence,apatientwillnotbeabletosharetheprogram.

PersonalVisionSpecialist



Beginning RevitalVision

Oncetheproductarrives(usuallyin3-5days),thepatientisencouragedbytheirPVStoreadtheUserGuideforprograminstructions.

Patientsinstallandbegintheprogram.

• PatientsareinstructedbytheirPVSandwillhandleALLquestions,eliminatingtheneedforpracticeinterruption.



Patient Progress Reporting

ThePVSmonitorsthepatient’sprogresstocompletionandsendsweeklyprogressreportstoyourpracticeforeachpatient.

• Apatientisconsideredcompliantwhen2-3sessionsarecompletedweekly.However,RevitalVisionrecommends3sessionsperweek.



Helpful Information

Timeline

Environment

Follow-up

Return Policy

• Apatientcanbegintheprogramatanytime.

• Postsurgicalpatientscanbeginoneweekfollowingsurgery.

• Patientsitsindarkenedroomduringtreatmentsession.

• Patientmustbe5feetawayfrommonitorduringprogram(mouseextenderprovided).

• Follow-upexamsareatthediscretionofthepractice.Ifafollow-upexamisgiven,RevitalVisionasksthatyoureturntheexamformwithfollow-upinformation,forourrecords.

• Returnsareatthediscretionofthepractice.RevitalVisionrecommendsbeforeofferingareturnthepatientcomplete10RevitalVisionsessions.Ifaproductisreturned,RevitalVisionwillcredityourpracticeforthatkit.



Contact Information

RevitalVision, LLC1617St.AndrewsDriveLawrence,Kan.66047

785.856.0417

[email protected]

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