SpectOcular Eyecare Professional Agreement

Agreement highlights

Why join the SpectOcular team?

This summary is provided for convenience only. The signed Agreement controls, including the term and termination rights in Article X.

$400/monthFixed monthly consulting retainer for availability and applicable services.
Retina IQ supportExpert second opinion on retinal imaging to empower eyecare professionals and support patient care.
Full clinical controlEyecare Professional keeps full control of clinical judgment, patient relationships, communication, and referrals.
Not referral basedCompensation is not based on referrals, patient volume, imaging volume, study enrollment, or other business generated.
No minimum volumeNo minimum number of scans, referrals, or enrollments is required.
Cutting-edge researchParticipate in cutting-edge research at no cost to you or your patients.

The Agreement — read in full before signing

Agreement Fields

Effective Date Eyecare Professional Name (your own name, not the practice)

License Type

License Number

NPI

Professional E-mail

Practice / Entity Name Practice Address

City

State

ZIP

Phone

Retina IQ: SpectOcular’s expert second opinion on retinal imaging is designed to empower eyecare professionals with retina-led support while preserving independent clinical judgment and patient-care responsibility.

SpectOcular countersignature: after you submit and sign below, SpectOcular's authorized signer will separately review and countersign this Agreement. You do not sign on SpectOcular's behalf.

Additional Notes

Eyecare Professional Electronic Signature

Use your mouse, trackpad, or finger to sign below. The signature will be included in the submitted agreement information and agreement preview.

I agree to use electronic records and electronic signature for this Agreement and understand my electronic signature is intended to have the same effect as a handwritten signature.

Thank you. Your agreement has been submitted, and SpectOcular will countersign and send you a copy. You can print or save the populated agreement preview.