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Bayview Vision Clinic 15821 SR 525 Langley WA 98260 P. (360) 3214779 F. (360) 3214782Name:DOB:Mailing Address:SSN last 4Gender: City/State:Cell Phone Number:Zip Code:Home Phone Number:Email Address:Employer:Emergency
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Please bring your photo refers to a request for individuals to bring a physical or digital copy of their photo for identification purposes.
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The only information required for please bring your photo is a valid photo of the individual for identification purposes.
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