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DEER PARK VISION CENTER 26 WEST H STREET, DEER PARK, WA 99006 Phone (509) 2766932, Fax (509) 2761608 Individual Privacy Information and Authorization I give my consent to the following: (please initial)
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Deer Park Vision Center is a vision clinic that offers eye care services such as eye exams, eyeglasses, and contact lenses.
Patients who receive services from Deer Park Vision Center are required to file for insurance reimbursement or payment.
To fill out Deer Park Vision Center forms, patients need to provide their personal information, insurance details, and a description of the services received.
The purpose of Deer Park Vision Center is to provide quality eye care services to patients in the community.
Information such as patient demographics, insurance coverage, services received, and payment details must be reported on Deer Park Vision Center forms.
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