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Medical Records Release Form To: Sergeant Bluff Eyewear 105 Gaul Dr. Sergeant Bluff, IA 51054Fax: Phone: 7129439400 Fax: 7129439403Patient Name: DOB: / / This patient has come to our office for their
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Sergeant Bluff Eyecare is a vision clinic offering eye care services.
Patients who receive services at Sergeant Bluff Eyecare may be required to provide information for filing purposes.
To fill out Sergeant Bluff Eyecare forms, patients can provide their personal and insurance information as requested.
The purpose of Sergeant Bluff Eyecare is to provide vision care services to patients.
Information such as patient demographics, insurance details, and medical history may need to be reported on Sergeant Bluff Eyecare forms.
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