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Patient ID Time in: Initials Welcome to Lake Ridge Vision Source! Patients Name: Apt with: Date of birth: Date: New Pt or Last Exam: Reason for Visit: Employer/Occupation: Communication preference:
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Individuals who are applying for admission or entry into a new institution or organization may need to fill out a new entrance form. This can include students applying to schools, colleges, or universities, as well as individuals seeking membership or access to certain facilities or events.
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