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Get the free assessment of dry eyes using ocular surface thermography

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PATIENT INFORMATION Last NameFirst Name Date of BirthAgeMiddle Initial/Social Security #Address Phone:Home ()Work (Occupation)Cell ()EmployerEmail Address: How Did You Hear of Doctor Gross? Primary
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Step 1: Begin by reading the instructions provided with the assessment form.
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Step 2: Fill out your personal information, including your name, age, and contact details.
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Step 3: Answer the questions on the form accurately and honestly. These questions may ask about your symptoms, medical history, lifestyle, and any medications or treatments you have tried for dry eyes.
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Step 4: If there are any specific instructions or additional sections on the form, make sure to complete them accordingly.
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Step 5: Review your answers before submitting the assessment form to ensure everything is filled out correctly.
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Step 6: Submit the form as per the specified method, whether it's through mail, email, or an online submission portal.
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Step 7: If required, make a copy of the filled-out form for your own records.
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Step 8: Wait for the healthcare professional or clinic to review your assessment and provide further guidance or recommendations.

Who needs assessment of dry eyes?

01
Anyone experiencing symptoms of dry eyes such as stinging, burning, redness, excessive tearing, or a feeling of grittiness in the eyes.
02
Individuals with certain medical conditions (such as diabetes, rheumatoid arthritis, or thyroid problems) that can increase the risk of developing dry eyes.
03
People who wear contact lenses regularly.
04
Those who spend extended periods staring at screens or in dry environments.
05
Individuals who have undergone certain eye surgeries or have eye conditions that affect tear production or quality.
06
Anyone seeking an evaluation of their eye health and potential treatment options for dry eyes.
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Assessment of dry eyes is a medical evaluation to determine the severity and underlying causes of dry eyes.
Patients experiencing symptoms of dry eyes are typically required to undergo an assessment by an eye care professional.
The assessment of dry eyes is typically filled out by an eye care professional during an examination with the patient.
The purpose of the assessment of dry eyes is to identify the cause of dry eye symptoms and develop an appropriate treatment plan.
The assessment of dry eyes typically includes information about the patient's symptoms, medical history, and any previous treatments for dry eyes.
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