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Name: Chart: Date:Billing ID#:PATIENT INFORMATIONKENNETH C. LOW, M.D. A PROFESSIONAL CORPORATIONSTEVEN C. ANDERSEN, M.D. EYE PHYSICIANS AND SURGEONS38707 Shivers St., Ste. B, Fremont, CA 94536 PLEASE
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To fill out low-vision forms, follow these steps:
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Ensure you have good lighting: Use a bright desk lamp or natural light to illuminate the form.
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Who needs low - vision forms?

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Low-vision forms are specifically designed for individuals with low vision or visual impairments.
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People who have difficulty reading standard-sized print, recognize symbols or images, or see details clearly may require low-vision forms.
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It is essential to provide accessible forms for these individuals to ensure they can effectively communicate, access services, and participate in various activities.
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Low-vision forms are documents used to report information about an individual's visual impairment.
Individuals with visual impairment who are seeking accommodations or support services typically need to file low-vision forms.
Low-vision forms can be filled out by providing accurate information about the individual's visual impairment, including diagnosis, severity, and impact on daily activities.
The purpose of low-vision forms is to document the extent of an individual's visual impairment and provide necessary information for accommodations or support services.
Information such as the diagnosis of visual impairment, severity, impact on daily activities, and any recommended accommodations or support services must be reported on low-vision forms.
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