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Pediatric Ophthalmology. Pediatric and Adult StrabismusWilliam O. Young, REFRACTION It is important for you to understand what a refraction is and why we perform it. Refraction is the part of the
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Fill in your personal information such as name, address, and contact details.
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Provide information about your current eye condition and any previous eye-related treatments.
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Answer the questions regarding your willingness to undergo a refraction test.
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If you choose to decline the refraction test, clearly state your reasons in the designated space.
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Sign and date the form to indicate your consent and understanding of the information provided.
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The refraction-no decline optiondoc is typically needed by individuals who have been recommended or scheduled for a refraction test but wish to decline it for various reasons. This form allows them to document their decision and provide an explanation for their choice.
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Refraction-no decline optiondoc is a form that allows individuals to indicate that they do not wish to decline the option of receiving a refraction during their eye exam.
Individuals who are receiving an eye exam and wish to either accept or decline the option of receiving a refraction are required to file refraction-no decline optiondoc.
To fill out refraction-no decline optiondoc, individuals should simply check the box indicating whether they wish to accept or decline the option of receiving a refraction during their eye exam.
The purpose of refraction-no decline optiondoc is to give individuals the opportunity to express their preference regarding the option of receiving a refraction during an eye exam.
The only information that must be reported on refraction-no decline optiondoc is whether the individual wishes to accept or decline the option of receiving a refraction.
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