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BIOPIC TELESCOPIC LENS CERTIFICATION Purpose: MED 41 (11/10/2010) Use this form to provide required certification from both the applicant and their physician that the applicant has been fitted with
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Med 41 - Virginia refers to a medical form used in Virginia for reporting medical information.
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Med 41 - Virginia requires the reporting of patient details (such as name, age, and gender), diagnoses, treatments, prescriptions, medical procedures, and any other relevant medical information.
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