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1Facchina Eye Center 11896 Buchanan Trail West Mercers burg, PA 172369767 Phone: (717) 4980383 Fax: (717) 4980379 www.facchinaeyecenter.comCONSENT FOR MEDICAL TREATMENT AND RELEASE OF INFORMATION 1.
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Facchina Eye Center is a renowned eye care facility specializing in advanced eye treatments and surgeries.
Patients seeking eye care services or treatments at Facchina Eye Center may be required to file necessary paperwork or forms.
To fill out Facchina Eye Center forms, patients should provide accurate personal and medical information as requested.
The purpose of Facchina Eye Center is to provide high-quality eye care services, treatments, and surgeries to patients.
Information such as personal details, medical history, insurance information, and treatment preferences may be required to be reported on Facchina Eye Center forms.
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