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Date Chart Review of Systems Medical History Form Patient Name Please check each item Yes or No as they relate to your health Yes EYES Double Vision Pain Floaters or Spots Seeing Flashes of light Dry Eyes Decreased Vision Sandy/Gritty Feeling Excessive Tearing BLOOD / LYMPH Anemia Easy Bruising Prolonged Bleeding Use blood thinners MUSCULOSKELETAL Arthritis ALLERGIC/IMMUNOLOGIC Hay Fever LUNGS / RESPIRATORY Cough Wheezing Emphysema Asthma No ENDOCRINE Diabetes - Type I or Type II How long...
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What is retina consultants of southwest?
Retina Consultants of Southwest is a medical practice specializing in the diagnosis and treatment of retina and vitreous diseases.
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The purpose of Retina Consultants of Southwest is to ensure quality care for patients with retina and vitreous diseases.
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