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If you wish, you may fill out this form prior to your arrival. Please bring it with you to your appointment. To transfer records from your previous eye care provider to our practice, kindly print out this form. You may submit it yourself or we can submit it for you in order to retrieve your records.
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This PDF requires a free plugin that may have come included with your browser. If you are having difficulties opening this file Click Here to go to Adobe's web site for Acrobat Reader. |
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