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Health problems that you may have or medication that you may be taking could have an important interrelationship with the eyecare you will receive. It is my responsibility to inform Clear View Eye Clinc of any changes in medical status Signature of Patient Parent or Guardian Date WELCOME TO THE CLINIC AND THANK YOU FOR CHOOSING US FOR YOUR EYECARE. I understand that after 30days Clear View Eye Clinic Inc will continue to help collect my benefits from my insurance company. Thank you for...
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Date Clear View Eye is a financial form used to report the date of last eye exam.
Individuals who have had an eye exam within the reporting period must file the Date Clear View Eye form.
Date Clear View Eye form can be filled out online or submitted through mail by providing information about the date of the last eye exam.
The purpose of Date Clear View Eye is to ensure individuals are keeping up with their regular eye exams for preventative health measures.
The Date Clear View Eye form requires reporting the date of the last eye exam and any relevant information about the exam.
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