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History of diabetic retinopathy Cataract. Date of previous eye examination Name of your ophthalmologist HEART Yes I have angina. I have history of coronary artery disease I have had a myocardial infarction heart attack I have had coronary bypass surgery Year of surgery Date of your last EKG Name of your cardiologist PERIPHERAL NERVES Yes I have been diagnosed to have neuropathy I have Numbness burning feet Pain in feet at night KIDNEY Yes I have protein in my urine PERIPHERAL VASCULAR Yes I...
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What is the questioner for initial evaluation?
The questioner for initial evaluation is a form or document used to gather information about a specific topic or issue.
Who is required to file questioner for initial evaluation?
The individuals or entities involved in the evaluation process are required to file the questioner for initial evaluation.
How to fill out questioner for initial evaluation?
The questioner for initial evaluation can be filled out by providing accurate and relevant information based on the requirements outlined in the form.
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The purpose of the questioner for initial evaluation is to collect necessary information to make informed decisions or assessments.
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