A MESSAGE FROM THE PRESIDENT Letter from the President

Transcription

1 Winter 2016 A MESSAGE FROM THE PRESIDENT Letter from the President Sarah Owens, CPOC Welcome to 2016! Who made New Year s Resolutions? My New Year s Resolution is to break my New Year s Resolution...that way I succeed at it for once! I would like to start by thanking everyone for their continued support of the PA Paraoptometric Association. We, as your Board, are excited to keep you engaged in your career as a paraoptometric. Hopefully, along the way, we can all have a lot of fun doing it too! The past few years have shown a tremendous change in the health care realm. Both for health care providers and for the everyday healthcare consumers. Current day optometry demands that paraoptometrics provide an integral role in patient care. Third party payers and your patients need assured they are receiving the best care from a highly qualified team. Doctors are increasingly more dependent upon everyone in the office to reach these goals; from the manager, technician, optician, and including the receptionist. For instance, are you entering medication prescriptions or eyeglass orders in EHR? For Doctors who participate in the Medicare & Medicaid Electronic Incentive Programs to fulfill meaningful use requirements, the AOA s review of the regulations and guidance from the Centers for Medicare & Medicaid Services recommends that only credentialed staff members with designations such as Certified Paraoptometric Technician (CPOT), Certified Paraoptometric Assistant (CPOA), and Certified Paraoptometric (CPO) enter orders related to CPOE. You as staff paraoptometrics can receive training and continuing education in order to fill this role. Any yes, everyone, Meaningful Use is not disappearing entirely. Paraoptometric certification through the American Optometric Association is your opportunity for advancement. Becoming a certified paraoptometric is easy. For testing information, simply go the AOA Paraoptometric s/staff Section online at As a member of the Pennsylvania Paraoptometric Association (PPA), you have free access to study materials in our Loaner Library. A list of the Loaner Library materials and other resources are on our website. The PPA is here and ready to help you in every step of your career. Best wishes for a wonderful 2016!

2 ParaEyes Page 2 Winter 2016 Sarah Message from the Vice President of Continuing Education: April Stewart, CPO Spring Congress will be held in Camp Hill, PA this year at the Radisson. Education will be offered from Friday May 13, 2016-Saturday May 14, I am planning a wide variety of topics to be presented. Once again a charm will be presented to all attending Paras. We will have new lanyard in the spring that will also be available to all attending Paras. I look forward to seeing you all in the spring. April Stewart, CPO Vice-President of Continuing Education Message from Vice President Communications and Public Relations April Conde, ABO,CPOA Hope everyone had a nice holiday season. Time for the New Year and new goals especially this year s spring conference. I hope to see more involvement for education. Don t forget to like our Facebook page. Please send old pictures if you would like to be in the Blast from the Past part of the ParaEyes Warmest regards to everyone, April Message from Secretary/Treasurer Lisa Scarborough, CPOA Our current checking account balance is $7, and savings account is $16, We have 43 membership renewals including 3 honorary members and 2 new members (Grace Brady, Eye Center of Lancaster County and Rebekah Fisher, Nittany Eye Associates).. AOA Liaison to PPA AOA Paraoptometric Liaison: Roberta Beers, CPOT This is a article that was published in the AOAPRC Fall Newsletter. The good news is that CMS has recognized "paraoptometric certification" acceptable for performing those particular functions. This is a great milestone for AOA paraoptometric certification and creates awareness of how valuable it is to be certified. AOA deserves a lot of credit for having the foresight to create a recognized certifying body for paraoptometrics

3 ParaEyes Page 3 Winter 2016 Paraoptometrics and Optometrists should be excited about it. AOA clarifies meaningful use rule on electronic order entry Certified paraoptometric staff may perform computerized provider order entry (CPOE) to fulfill meaningful use requirements, per a clarification from AOA reinforcing the benefits of AOA associate membership. Based on AOA's review of the regulations and guidance from the Centers for Medicare & Medicaid Services (CMS), AOA recommends that doctors of optometry only allow credentialed staff members, with designations such as Certified Paraoptometric Technician (CPOT), Certified Paraoptometric Assistant (CPOA) and Certified Paraoptometric (CPO), to enter orders related to CPOE. The AOA recently clarified with CMS that doctors of optometry are responsible for determining which credentialed staff members, if any, are qualified to perform the CPOE function as a meaningful use measure in the Medicare & Medicaid Electronic Health Records (EHR) Incentive Programs. CMS reiterated that the agency is "neither qualified nor authorized to make a determination," but referred to August 2013 guidance that states "appropriately credentialed" staff can perform the function and have it count toward the measure. Given that CMS specifically indicates "laypeople" are unqualified to perform duties associated with CPOE and that those selected to assist must be certified by organizations other than the employer, ensuring that staff members tasked with entering orders receive additional training and certification such as CPOT, CPOA or CPO would be a positive first step. In addition to designating certified paraoptometrics to perform CPOE, AOA recommends documenting how those individuals were determined qualified to enter such orders. This documentation should include the individual's paraoptometric credentials, specific experience, education or training that might be relevant, information about the workflow used in the office to enter orders, and compliance with any pertinent local, state or federal laws. This information will be helpful in the event that a doctor is audited related to the EHR Incentive Program Doctors of Optometry May Use Certified Paraoptometric Staff for Electronic Order Entry CMS Defers to Physicians, Federal and State Law in Determining Who Can Enter Medication and other Orders for Meaningful Use Many doctors of optometry who participate in the Medicare & Medicaid Electronic Health Records (EHR) Incentive Programs have asked whether credentialed staff members are qualified to perform computerized provider order entry (CPOE) to fulfill meaningful use requirements. Based on AOA s review of the regulations and guidance from the Centers for Medicare & Medicaid Services (CMS), the AOA recommends that doctors of optometry only allow credentialed staff members with designations such as Certified Paraoptometric Technician (CPOT), Certified Paraoptometric Assistant (CPOA), and Certified Paraoptometric (CPO) to enter orders related to CPOE. Doctors of optometry must also personally ensure that any individual selected to enter orders has the education and training to perform the clinical expectations for this task and that designating this task to the credentialed staff member is in accordance with local, state and federal law. The AOA recently clarified with CMS that doctors of optometry are responsible for determining which credentialed staff members, if any, are qualified to perform computerized provider order entry (CPOE) to fulfill meaningful use measures for the Medicare electronic health records (EHRs) incentive programs. Untrained staff are not considered acceptable options, so AOA recommends members take advantage of resources in the AOA Paraoptometric Resource Center and document that staff with the designations of CPOT, CPOA, and CPO have adequate training and comply with local, state and federal law. CMS recently reiterated to AOA that the agency is neither qualified nor authorized to make a determination on the specific medical training and responsibilities which determine the appropriateness of a particular medical staff member to enter orders for CPOE. CMS referred AOA to the following guidance dated August 20, 2013 for more information: When meeting the meaningful use measure for computerized provider order entry (CPOE) in the Electronic

4 ParaEyes Page 4 Winter 2016 Health Records (EHR) Incentive Programs, does an individual need to have the job title of medical assistant in order to use the CPOE function of Certified EHR Technology (CEHRT) for the entry to count toward the measure, or can they have other titles as long as their job functions are those of medical assistants? If a staff member of the eligible provider is appropriately credentialed and performs similar assistive services as a medical assistant but carries a more specific title due to either specialization of their duties or to the specialty of the medical professional they assist, he or she can use the CPOE function of CEHRT and have it count towards the measure. This determination must be made by the eligible provider based on individual workflow and the duties performed by the staff member in question. Whether a staff member carries the title of medical assistant or another job title, he or she must be credentialed to perform the medical assistant services by an organization other than the employing organization. Also, each provider must evaluate his or her own ordering workflow, including the use of CPOE, to ensure compliance with all applicable federal, state, and local law and professional guidelines.i CMS previously indicated on Sept. 4, 2012 that a layperson would be unable to perform these duties: it is apparent that the prevalent time when CDS (clinical decision support) interventions are presented is when the order is entered into CEHRT, and that not all EHRs also present CDS when the order is authorized (assuming such a multiple step ordering process is in place). This means that the person entering the order could be required to enter the order correctly, evaluate CDS either using their own judgment or through accurate relay of the information to the ordering provider, and then either make a change to the order based on the CDS intervention or bypass the intervention. We do not believe that a layperson is qualified to do this.ii Given that CMS specifically indicates that laypeople are unqualified to perform duties associated with CPOE and that those selected to assist must be certified by organizations other than the employer, ensuring that support staff members that are chosen to enter orders receive additional training and certifications such as Certified Paraoptometric Technician (CPOT), Certified Paraoptometric Assistant (CPOA), and Certified Paraoptometric (CPO) would be a positive first step. For doctors of optometry who designate staff members to enter orders into EHRs, AOA recommends enrolling the staff member(s) as AOA Associate members, which is free, and documenting how those individuals were determined to be qualified to enter orders. This documentation should include the individual s paraoptometric credentials, specific experience, education or training that might be relevant, information about the workflow used in the office to enter orders, and compliance with any pertinent local, state or federal laws. In the event that a physician is audited related to the EHR incentive program, this documented information could be helpful.

5 ParaEyes Page 5 Winter 2016 Election of Officers and Duties President-Elect Duties- Perform the duties and responsibilities of the President in the President s absence or in the event of the failure or inability of the president to perform the duties. Prepare and present a report for the board and general meetings. Attend all PPA board meetings and general membership meetings Vice President Continuing Education- Duties- Arrange topics and speakers for educational meetings. Submit educational materials to Commission on Paraoptometric Certification for approval. Oversee the recording of continuing education hours and awards, also recourse library and economic task force.. Attend meetings and report to the president/board. Secretary/Treasurer- Duties Keep accurate records of the proceedings of all board of directors and general membership meetings, submit the minutes to the president for approval within two weeks of the meeting, Attend all PPA board meetings and general membership meetings. As treasurerperform all duties assigned by the president. Be custodial of funds, legal and fiscal documents and securities received in the name of the association. Present a written, detailed financial report to the general membership. Collect and deposit all monies and dues for the association. Keep a complete and correct list of all members. Vice President of Communication/ Public Relation- Edit, publish and distribute the associations newsletter. Attend all PPA Board meetings. The V.P. of Public Relation chairs the Paraoptometric of the year award, and promotes the Girl Scout Patch Program. Attend all PPA board and general membership meetings. Purchase gifts as defined in the guidelines as instructed by the president. ELECTIONS FOR THE 2017 PPA BOARD WILL BE HELD AT THE MAY MEETING IN CAMPHILL, PA. ANYONE INTERESTED IN RUNNING FOR A BOARD POSITION CAN CONTACT VERA J KOHLER CPOA Volunteering Doesn t Take a Lot of Time, Just a Little Time to Care!

6 ParaEyes Page 6 Winter 2016 Don t forget to join our group on facebook (Pennsylvania Paraoptometric Association) It s a great place to share ideas/photos and keep in touch with the other PPA members. Click here to see our page.

7 ParaEyes Page 7 Winter 2016 Quarterly ParaEyes E-News One of the great benefits of membership is the quarterly Pennsylvania Paraoptometric newsletter, (Para-Eyes) E-News. The newsletter features a message from your Chair, information on happenings within the Association, CE opportunity listings, and much more. Deadlines to submit information for the newsletter will be announced two weeks before it goes to print. We are always looking for input from you and the local societies.

8 ParaEyes Page 8 Winter 2016 Volunteering Doesn t Take a Lot of Time, Just a Little Time to Care!

9 ParaEyes Page 9 Winter 2016 Healthy Eye Food Recipes Carrot-Cumin Soup Eye-healthy nutrients: beta-carotene, vitamin A Serves 4 2 tablespoons olive oil 1 medium yellow onion, chopped 2 garlic cloves, minced 1 pound large carrots, peeled and cut into 1-inch pieces (about 2½ cups) 2½ cups vegetable broth ½ teaspoon ground cumin ¼ teaspoon ground coriander ½ teaspoon sea salt Freshly ground black pepper 1 teaspoon freshly squeezed lemon juice ½ cup plain Greek yogurt 2 tablespoons toasted cumin seeds, for garnish 1. In heavy saucepan, heat olive oil over medium-high heat and sauté onion for 2 minutes, then add garlic and sauté an additional minute. Add carrots, broth, cumin, coriander, salt, and pepper. Bring to a boil. Reduce heat, cover, and simmer until carrots are tender, about 15 minutes. 2. Purée soup with an immersion blender or, working in batches, purée in blender or food processor until smooth, then return to the saucepan. Whisk in lemon juice and yogurt. Season to taste. Ladle into bowls and sprinkle with cumin seeds.

10 ParaEyes Page 10 Winter 2016 Lentil and Orange Salad Makes 2 cups. Serves 1 as a meal or 2 as a side dish. Ingredients 1/2 cup green lentils 3/4 cups low sodium chicken broth 1 orange ½ red pepper, sliced 2 green onions, thinly sliced 1/4 cup fresh mint or 2 tsp dried, divided 1 tbsp olive oil 1 tbsp lime juice 1 tbsp apple cider vinegar Salt & Pepper Directions 1) Cook lentils. Bring chicken broth to a boil. Add just under ½ cup raw lentils, rinsed well. Return to boil, lower heat, and simmer partially covered for approximately 30 minutes or until cooked through. Drain if necessary. 2) While lentils are cooking, prepare the dressing. With the back of a spoon, smash half of the mint leaves with the lime juice, apple cider vinegar and salt and pepper. Add olive oil slowly, whisking briskly. 3) Using a fine grater, zest the orange. 4)Remove the rest of the orange peel using a knife, then chop the orange into bite sized pieces. 5) Mix lentils with orange, orange zest, pepper, green onion and the remaining mint. Gently toss with the dressing. Enjoy immediately or chill for up to 2 days. A serving of this food or recipe has 50% or more of the eye foods daily target of omega 3 fatty acids.

11 ParaEyes Page 11 Winter 2016 Whole Wheat Penne with Spinach and Gorgonzola Ingredients: 10 oz. uncooked whole wheat penne pasta Olive oil cooking spray 1 1/2 cup yellow onion, diced (~ 1 medium onion) 3 large clove garlic, minced 1/2 cup chicken broth 3 Roma tomatoes, chopped (~2 cups) 1 (6-ounce) bag fresh baby spinach 1/3 cup fresh basil, chopped or 1 teaspoon dried basil Salt and pepper to taste 2/3 cup crumbled gorgonzola cheese 1/3 cup pine nuts (optional) Directions 1.Cook pasta according to package directions, without salting water. 2.While pasta is cooking, spray a large, non-stick frying pan with cooking spray. Heat over medium-high heat. Add onions, then stir and cook until slightly transparent, approximately 5 minutes. Add garlic, stir and cook for another minute. Add broth and let simmer for 3 minutes. Add tomatoes, toss, and simmer for 2 minutes. Add spinach and basil, cook and stir for approximately 2 minutes, or until leaves wilt. Remove from heat and salt/pepper to taste. 3.Drain pasta and add to spinach mixture. Thoroughly toss. Serve on a platter and top with gorgonzola and pine nuts. Especially rich in: lutein, zeaxanthin, folate, and zinc, with modest amounts of vitamin C. Most of the omega-3s are from plant sources, which are not quite as good as the EPA and DHA in fish. Also rich in: iron, fiber, B vitamins, calcium, potassium, and copper

12 ParaEyes Page 12 Winter 2016 Citrus and berries These fruits are powerhouses of vitamin C, which has been shown to reduce the risk of developing macular degeneration and cataracts.

13 ParaEyes Page 13 Winter 2016 Test your Knowledge 1. Sclera a. A thick clear jelly like substance that fills the eye between the lens and the retina 2. Conjunctiva b. The gland that supplies most of the teas to the eye 3. Cornea c. It carries the impulses from the retina to the brain 4. Iris d. The bottom or base of an organ, the interior surface of the eyeball 5. Crystalline Lens e. The white portion of the made up of a tough, fibrous tissue that gives shape and structure 6. Retina f. The colored part of the eye g. The seeing part of the eye 7. Optic Nerve h. Provides focusing power to the eye, second most powerful Refractive medium 8. Lacrimal Gland i. The most powerful refractive media of the eye 9. Vitreous Humor j. The clear cellophane like tissue that covers the sclera and the inside surface of the eyelids 10. Fundus Answer Key Last Page

14 ParaEyes Page 14 Winter 2016 Comic Relief

15 ParaEyes Page 15 Winter 2016 You can talk yourself into success The secret? A simple but life-changing shift in vocabulary. Trading I can t for I can. Replacing maybe with definitely. Switching out not me for why not me? Believe in yourself, and that confidence will carry you Toward your dreams! ****************************************************************************************************************** Education Bones of the Eye

16 ParaEyes Page 16 Winter 2016 Nomination Form for: Pennsylvania Paraoptometric of the Year Nomination Form Rules The candidate must be a member in good standing of the Pennsylvania Paraoptometric Association The nomination must be submitted to the committee chair person The nomination must be submitted by a local paraoptometric society, or local optometric society, a PPA member, a POA member, or by Nominee The nomination must be submitted on this form Nominations may be resubmitted in future years Criteria Area I- Service to optometry and the Pennsylvania Paraoptometric Association Contributions of personal effect and time toward the professions advancement. Service as an officer, committee member or chair on the local, state or any official organization Promotion of the associations goals and programs Activity in support of the associations projects Involvement in public information activities Area II - Public/Community Service Participation in public service programs (vision screening, etc) Service to sight saving groups, education, the community, religious or service institutions, charitable causes, etc. Nominee Name: Office Address: Home Address: Office Phone Home Phone Nomination Submitted By (individual or group) Name(s) Date Title(s) Office Phone Association Office Address Completed forms and return to: Submission Deadline April 1, 2016 Please send nomination form to: April Conde, ABO, CPOA Owens Optometric 654 E. Main Street Holland, PA (717) april.condepara@hotmail.com

17 ParaEyes Page 17 Winter 2016 Why Career Fulfillment Matters Find a job you love and you shall never have to work a day in your life. I m sure you ve heard this saying before. If you ve ever worked at a job you love, you have to agree! Hopefully, you are currently working in a rewarding and exciting career. There are many reasons career fulfillment is important, here are few: Career Success is a Significant Component of Personal Success Many are taught, in order to be viewed as successful, we must attain a certain level of professional achievement. Our self-worth has become tied to our professional worth. We Spend a Large Percentage of Our Lives at Work From the age of 18 to 65, most of us work an average of eight hours a day, five days a week. That s a significant percentage of the time most will spend on Earth. Imagine spending a majority of your life in a professional career you don t enjoy. Career Is Closely Tied to Identity In our society, right or wrong, we tend to put people in boxes. Career is a common way of doing this. There s a widespread practice of stereotyping people based on what they do for a living. People might make snap judgments, but they re just as quick to let themselves be pleasantly surprised. When you re proud of the work you do, it shows. Others hear it in your voice and see it on your face.

18 ParaEyes Page 18 Winter 2016 If you are CPC certified or are thinking about becoming certified, a great benefit the AOA Paraoptometric Resource Center provides is opportunities to earn six free hours of continuing education credits (CECs) that may be used to fulfill CPC re-certification requirements. To take advantage of the free hours, you must be an AOA member paraoptometric.visit our online continuing education page to read articles and take quizzes. In addition to the six free hours, we also have over 45 hours of continuing education articles on our article archive page. These articles are all CPC approved CECs. Articles are free to download for AOA member paraoptometrics, but there is a $10 processing fee for each hour of CEC. These online resources are available to all AOA Associate member paraoptometrics. Not a member? Membership is not automatic upon certification but is free and available for all paraoptometrics who are employed by an AOA member OD. If your doctor is a member of the AOA, please encourage him or her to enroll you today! As always, if you have any questions or concerns, you may contact the AOA Paraoptometric Resource Center team at PRC@aoa.org or ext The Paraoptometric Resource Center Team Click here to opt out of the PRC Member Benefit s which include information on training, continuing education opportunities, certification, newsletters, Optometry's Meeting and contacting the PRC. American Optometric Association 243 N. Lindbergh Blvd. St. Louis MO

19 ParaEyes Page 19 Winter 2016 Get to Know Your Board President-Elect Sarah Owens, CPOC Vice President of Communication/ Public Relation April Conde, ABO, CPOA Vice President Continuing Education April Stewart, CPO Secretary/Treasurer Lisa Scarborough, CPOA Immediate Past President- Vera Kohler, CPOA

20 ParaEyes Page 20 Winter 2016 President Sarah Owens, CPOC If your life had a sound track what song would you pick for it? Eye in the Sky by Alan Parsons Project What is your ringtone? My phone is sooo boring. I have just a typical no frills ringtone. What song do you love to dance to? Billy Jean by Michael Jackson What nickname do you have? Foof If you could vacation anywhere in the world, where would it be? I think I would go to Bora Bora and relax or maybe Italy and eat and drink. What was the first thing you learned to cook? I come from a Hungarian background; I think my first cooked dish might be Chicken Paprikas with Dumplings. How many years have you worked in the field of optometry? I am an eye baby (my father is an optometrist) I probably started working when I was 7 years old, so that s a lot of years! But honestly, I have worked in this field in an adult career capacity for 19 years. What was the first concert you went to see? My first concert was Herman and the Hermits and Chubby Checker somewhere in Ohio as a child. Would you rather be able to visit 100 years in the past or the future/ Definitely go to the past.and set up a huge trust fund for my future self.

21 ParaEyes Page 21 Winter 2016 Vice President Communications and Public Relations April Conde, ABO,CPOA If your life had a sound track what song would you pick for it? Don t Worry be Happy Bobby McFerrin What is your ringtone? My ring tone is whatever the phone is set to when purchased. What song do you love to dance to? I dance to everything What nickname do you have? Napu If you could vacation anywhere in the world, where would it be? Dubai What was the first thing you learned to cook? Mashed Potatoes How many years have you worked in the field of optometry? 15 years What was the first concert you went to see? David Corey Would you rather be able to visit 100 years in the past or the future? 100 years in the past.

22 ParaEyes Page 22 Winter 2016 Vice President of Continuing Education: April Stewart, CPO My full name is April Mechele Stewart. I live in northwestern Pennsylvania in the small town of Knox. My birthday is December 31 and I just turned 45 years young. I have been married for 5 years to the love of my life, Thomas. I have 1 son, Joshua and 2 stepchildren, Andrea and Michael. I have 6 grandchildren all together. Dominick, Maddie, Gillian, Ethan, Jace and Daphne. They range in ages 6 to 6 months. I have a long haired Chihuahua, Nikita. She is spoiled rotten by me. I love to workout. My favorite workouts are Piyo, Combat, Kickboxing and Circuit training. My husband and I love to go camping. I have worked for the past 12 years with Dr. David Wagner, who I started my optometric career with. What is your ringtone? Depends who is calling but my defaults is Uptown Funk What nickname do you have? Apey or Schmapes If you could vacation anywhere in the world, where would it be? Somewhere in the mountains What was the first thing you learned to cook? Spaghetti How many years have you worked in the field of optometry? 12 years What was the first concert you went to see? Skid Row and Aerosmith Would you rather be able to visit 100 years in the past or the future? In the past so I can meet relatives I never knew or only knew for a short time.

23 ParaEyes Page 23 Winter 2016 Secretary Treasurer Lisa Scarborough, CPOA If your life had a sound track what song would you pick for it? Jimmy Buffet s Cheeseburger in Paradise What is your ringtone? twinkle What song do you love to dance to? Anything! What nickname do you have? DeeDee If you could vacation anywhere in the world, where would it be? I love Jamaica What was the first thing you learned to cook? Grilled cheese sandwich How many years have you worked in the field of optometry? 17 ½ years What was the first concert you went to see? Guns and Roses Would you rather be able to visit 100 years in the past or the future? 100 years in the past

24 ParaEyes Page 24 Winter 2016 Immediate Past President Vera Kohler, CPOA If your life had a sound track what song would you pick for it? Dirty Dancing What is your ringtone? Jingles What song do you love to dance to? Proud Mary What nickname do you have? VJ If you could vacation anywhere in the world, where would it be? Aruba What was the first thing you learned to cook? Lemon Meringue Pie How many years have you worked in the field of optometry? 30 years What was the first concert you went to see? Not sure Would you rather be able to visit 100 years in the past or the future? 100 years in the past

25 ParaEyes Page 25 Winter 2016 Answers Key: 1-e; 2-j; 3-I; 4-f; 5-h; 6-g; 7-c; 8-b; 9-a; 10-d

26 ParaEyes Page 26 Spring 2015 President Sarah Owens, CPOC (717) Order Form President-Elect Secretary/Treasurer Lisa Scarborough, CPOA (717) VP of Continuing Education April Stewart, CPO (814) VP of Communications April Conde, ABO (717) Immediate Past President Vera J Kohler CPOA (814) vjkohler@verizon.net POA Liaison Rich Christoph, O.D. (484) drchristoph@verizon.net AOA Liaison Roberta Beers, CPOT (814) rmbeers@zoominternet.net PPA Paraoptometric Reference Manual QTY Price Each TOTAL Member $27.00 Non- Member PPA Pin $7.00 Name Phone Address Checks payable to: Pennsylvania Paraoptometric Association Send to: Theola Amundson, CPOT 118 Scotland Ave. Punxsutawney PA, 15767