Eye Care Clinic Design Checklist Form
Use this form to review and plan the design requirements, layout, equipment, branding, and readiness of an eye care clinic. The title must remain exactly the same everywhere in the form.
Clinic Design Overview
Clinic/Project Name
*
Location / City
*
Project Stage
*
Please Select
Concept
Renovation
Expansion
Final Review
Other
Space and Layout Checklist
Reception / waiting area
Exam rooms, optical/dispensing area, staff work area, storage, accessibility flow, signage, and circulation/traffic flow
Equipment and Infrastructure
Equipment needs
*
Exam chairs
Slit lamp
Autorefractor
Lensometer
Visual field analyzer
Optical coherence tomography (OCT)
Fundus camera
A-Scan/B-Scan ultrasound
Other
Infrastructure readiness notes
*
Branding, Safety, and Final Notes
Branding and interior style preferences
Safety and accessibility concerns
Entrance accessibility
Clear signage and wayfinding
Non-slip flooring
Adequate lighting
Fire safety compliance
Emergency exits clearly marked
Accessible restroom access
Other
Additional design notes or approval comments
Submit
Should be Empty: