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LOW VISION REFERRAL/CONSULTATION FORM DR. GARY SNEAK AND DR. MELANIE K. SANFORD 4310 GENESES AVENUE, SUITE 101 SAN DIEGO, CA 92117 PHONE: (858) 5605181 FAX: (858) 5601926Please complete the form as
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What is low vision referral/consultation form?
The low vision referral/consultation form is a document used to refer individuals with vision impairments to specialists for further evaluation and consultation.
Who is required to file low vision referral/consultation form?
Healthcare providers, eye care professionals, and educators may be required to file the low vision referral/consultation form.
How to fill out low vision referral/consultation form?
The form typically requires basic personal information of the individual, details of the vision impairment, and reason for referral.
What is the purpose of low vision referral/consultation form?
The purpose of the form is to ensure that individuals with vision impairments receive proper evaluation and recommendations from vision specialists.
What information must be reported on low vision referral/consultation form?
Information such as the individual's name, age, vision diagnosis, and reason for referral must be reported on the form.
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