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PH: 8885881072 FAX: 8663881488 ParagonSpecialty. Cosmology Order Form PATIENT INFORMATION demographics attachedPatient Name: DOB: Sex:Address: Patient SSN: City: State: Zip: Phone: INSURANCE INFORMATION:

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Cataract due to type is needed by individuals who have been diagnosed with cataracts. Cataracts are a common eye condition characterized by clouding of the lens, leading to vision impairment. Different types of cataracts may occur, including nuclear, cortical, and subcapsular cataracts. People who experience symptoms such as blurred vision, difficulty seeing at night, sensitivity to light, or color vision problems may require cataract treatment. A comprehensive eye examination and consultation with a healthcare provider or ophthalmologist can help determine if someone needs cataract due to type.

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Cataract due to type refers to a specific classification of cataracts based on the cause or underlying condition.

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The purpose of reporting cataract due to type is to better understand the different classifications and causes of cataracts.

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Information such as the specific type of cataract or underlying condition leading to the cataract must be reported on the cataract due to type form.

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