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CURTIS OPTOMETRY GROUP David H. Curtis, O.D. Susanne S. Cunningham, O.D. John P. Nail, Jr., O.D. Hannah J. Nail, O.D. 1823 5th Street North Columbus, MS 39705 (662) 3285225 (662) 3275950 AUTHORIZATION
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To fill out the Curtis Optometry Group form, follow these steps:
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Start by entering your personal information such as your name, address, and contact details in the designated fields.
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Next, provide your insurance details, including the name of your insurance provider and your policy number.
04
Specify the reason for your visit or appointment, whether it is for a routine eye examination, contact lens fitting, or treatment of a specific eye condition.
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If you have any existing medical conditions or allergies, make sure to mention them in the form.
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Indicate any medications you are currently taking or any previous surgeries related to your eyes.
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If applicable, provide information about your primary care physician or referring doctor.
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Review the form for accuracy and completeness before submitting it to Curtis Optometry Group.
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If you have any additional notes or specific requests, you can also include them in the designated section.
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Finally, sign and date the form to validate your submission.
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Once completed, you can either submit the form online or bring a printed copy to your appointment.
Who needs curtis optometry group?
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Curtis Optometry Group is beneficial for the following individuals:
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- Anyone experiencing vision problems or changes in their eyesight
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- Individuals requiring regular eye examinations to monitor their vision health
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- Those in need of contact lens fitting or prescription updates
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- People with specific eye conditions or diseases that require specialized treatment
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- Patients seeking comprehensive vision care services from experienced optometrists
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- Anyone looking for reliable and professional eye care services in their locality
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What is curtis optometry group?
Curtis Optometry Group is a group of optometrists providing eye care services.
Who is required to file curtis optometry group?
The owners or operators of Curtis Optometry Group are required to file.
How to fill out curtis optometry group?
You can fill out Curtis Optometry Group by providing all necessary details and information about the group's operations.
What is the purpose of curtis optometry group?
The purpose of Curtis Optometry Group is to provide quality eye care services to patients.
What information must be reported on curtis optometry group?
Information such as financial performance, patient demographics, and services provided must be reported on Curtis Optometry Group.
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