Pre-Configuration Report — Vision R/S
Customer Information
Company / Practice Name
Address
ONSITE
Contact Name
Contact Phone
Contact Email
Reference
Sales Order #
WO #
Zoho #
Date & Time
Ophthalmic Field Service Technician
Select Vision Unit
Vision-R 700
Vision-S 700
Vision-R 800
Vision-R 700 Pre-Configuration
Serial Number (S/N)
Console S/N
Software Version
Room / Lane
Condition
New
Good
Fair
Pre-Configuration & Physical Audit
Physical inspection pass (no shipping/cosmetic damage)
Power supply & external cable harness verification
Tablet console paired and responsive
Firmware & system software verified to latest stable release
Continuous power module initialization & lens drum homing verified
PD motors and convergence positioning calibrated
Screen chart / projector wireless synchronization verified
EMR / EHR export protocol configured and tested
Configuration backup saved to USB/Cloud
Unit Fully Configured & Ready for Field Installation
Yes
No
Vision-S 700 Pre-Configuration
Serial Number (S/N)
Tablet S/N
Software Version
Room / Lane
Condition
New
Good
Fair
Pre-Configuration & Physical Audit
Physical inspection pass (compact chassis, optics, and covers clean)
Internal power module & power supply verified
Integrated chart screen and target projection calibrated
Optical distance simulator (infinity to near) test pass
Wireless console paired and latency verified
Software and refraction program modules loaded
Automated forehead rest and PD adjustment calibrated
EMR / EHR network connection & export verified
Dust cover and travel packaging complete
Unit Fully Configured & Ready for Field Installation
Yes
No
Vision-R 800 Pre-Configuration
Serial Number (S/N)
Console S/N
Software Version
Room / Lane
Condition
New
Good
Fair
Pre-Configuration & Physical Audit
Physical inspection pass (chassis, head, forehead rest, cabling)
Dedicated power supply and interconnect harness test
High-resolution liquid lens / variable optics system self-test pass
Master control console pairing & screen calibration complete
Integrated acuity chart communication & polar filter check
Smart refraction algorithms and presets loaded
Corneal vertex distance alignment camera calibrated
EMR / EHR bidirectional sync protocol validated
Master system parameters and network backup stored
Unit Fully Configured & Ready for Field Installation
Yes
No
Signatures & Sign-off
Supervisor: (Signature)
Clear Supervisor Signature
Supervisor Printed Name
Ophthalmic Field Service Technician: (Signature)
Clear Technician Signature
Technician Printed Name
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