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Excel Health Vision Care Service Record (This form to be maintained by the providers' office) SECTION II COVERAGE SECTION I PROVIDER/PATIENT SECTION Employee Name: Employee ID No.: Patient Name: Relationship:

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How to fill out Excela Health - Davis:

1. Start by gathering all necessary information and documents, such as your personal identification, insurance details, and any relevant medical history.
2. Visit the Excela Health - Davis website or go to their physical location to access the necessary forms and paperwork.
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4. Fill out the forms accurately and legibly, ensuring that all required fields are completed and any additional information is included as requested.
5. Double-check your answers for accuracy and completeness before submitting the forms.
6. If you have any questions or need assistance during the process, contact the Excela Health - Davis customer service for guidance.

Who needs Excela Health - Davis:

1. Individuals seeking medical services or healthcare in the Excela Health - Davis network.
2. Patients looking for quality healthcare providers and facilities in the Davis area.
3. Those in need of specialized medical treatments, imaging services, laboratory testing, or other healthcare services provided by Excela Health - Davis.

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Excela Health - Davis is a healthcare provider that offers a range of medical services.

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