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EYE INK FX, INC HAND PAINTED COSMETIC CONTACT LENS PRESCRIPTION & FITTING VERIFICATION FORM NAME:DATE:HECTOMETER:LENS ORDERING / DESIGN:PREVIOUSLY Outpatient has been instructed in the proper methods
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Open the new cl_veri_record-formdocx file.
02
Start from the top of the form and fill out each field with the necessary information.
03
Enter the client's full name in the designated field.
04
Provide the client's contact details, such as phone number and email address.
05
Fill in the client's date of birth and gender.
06
Specify the client's current address, including street, city, state, and zip code.
07
If applicable, enter the client's previous address and the duration of their stay.
08
Provide information about the type of verification being conducted.
09
Indicate the date and time the verification process started and ended.
10
Fill out any additional notes or comments relevant to the verification.
11
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This form is commonly used by verification agencies, background check services, or any entity responsible for verifying the identity, background, or credentials of clients.
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It is also required by companies or institutions that adhere to specific compliance regulations and need to maintain a record of client verifications for audit or legal purposes.
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