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Get the free Do you currently wear glasses? Contact Lenses?

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Name: DOB: AHC: Address: Phone H/W/C: Patient Check Insurance: The following information is necessary to provide you with the highest level of vision care. Contact Lenses? Select One you currently
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I currently wear a blue t-shirt and jeans.
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The purpose of filing what you currently wear is to provide information about your clothing choices.
You must report the type and color of clothing you are currently wearing.
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