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ERA VitreoRetinal Associates, P.C. Jeffrey D. Zheutlin MD Frank W. Garber MD Louis C. Glazer MD Diseases & Surgery of the Retina & Vitreous (616) 2851200 2505 East Paris Ave SE, Suite 100 Grand Rapids,

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How to fill out VRA Vitreo-Retinal Associates PC:

1. Start by obtaining the VRA Vitreo-Retinal Associates PC form. This form can usually be found on the official website of the organization or obtained from their office directly.
2. Carefully read through the instructions provided on the form. It is crucial to understand what information is required and how it should be filled out to ensure accuracy.
3. Begin by providing your personal information. This typically includes your full name, address, contact details, and any other necessary identifying information requested.
4. Next, provide your insurance information, if applicable. This may include your insurance provider's name, policy number, and group number. Make sure to verify if VRA Vitreo-Retinal Associates PC accepts your specific insurance plan.
5. Moving on, fill out the medical history section. This entails providing details about any existing medical conditions, previous surgeries, allergies, medications you are currently taking, and any other relevant medical information.
6. If you have a referring physician, provide their information on the form. This includes their name, contact details, and any other required details.
7. Ensure that you accurately complete the demographic information section. This may include your age, gender, race, and any other demographic data requested.
8. Review the completed form for any errors or omissions. It is important to double-check that all sections have been filled out accurately and completely.

Who needs VRA Vitreo-Retinal Associates PC:

1. Individuals who are experiencing issues with their vitreo-retinal health may require the services of VRA Vitreo-Retinal Associates PC. This can include conditions such as macular degeneration, diabetic retinopathy, retinal detachment, or other retinal diseases.
2. People who have been referred to VRA Vitreo-Retinal Associates PC by their primary care physician, ophthalmologist, or optometrist may need their services. These referrals often occur when specialized expertise or treatments are necessary.
3. Patients seeking consultation, diagnosis, or treatment for vitreo-retinal conditions from experienced and qualified healthcare professionals may benefit from the services provided by VRA Vitreo-Retinal Associates PC.

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