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PREOPERATIVE FORM Please fax to (310) 2080169 or email to: cm maloneyvision.com Referring Doctor: Date Seen: Patients Name: Phone (Cell) (Home) Reason for referral: Relevant history: Contact lens
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How to fill out ucla laser refractive center
01
To fill out the UCLA Laser Refractive Center form, follow these steps:
02
Begin by accessing the UCLA Laser Refractive Center website and locating the online form.
03
Read the instructions provided on the form carefully to understand the information required.
04
Provide your personal details accurately, including your name, date of birth, and contact information.
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Answer all the questions on the form, providing the requested information to the best of your knowledge.
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If applicable, provide any relevant medical history or previous eye surgeries.
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Wait for confirmation from the UCLA Laser Refractive Center regarding your submission and any further instructions.
Who needs ucla laser refractive center?
01
Individuals who are seeking laser refractive procedures can benefit from the UCLA Laser Refractive Center.
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This may include individuals with vision problems such as nearsightedness, farsightedness, or astigmatism.
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Candidates for LASIK or other laser refractive surgeries may choose to visit the UCLA Laser Refractive Center for consultation and treatment.
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It is advised to consult with an eye care professional to determine if the UCLA Laser Refractive Center is suitable for your specific eye condition.
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