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HEALTH HISTORY Name DOB Date Primary Care Physician Other Physician(s) Yes No EYE HISTORY Previous Eye Injuries Previous Eye Infections Eye Muscle Imbalance Amblyopia (Lazy Eye) Previous Eye Exercises/Visual
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Oformr physicians is a form used for reporting physician information to regulatory bodies or insurance companies.
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Physicians or healthcare providers are required to file oformr physicians.
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Information such as physician's name, contact information, license number, specialties, and any disciplinary actions must be reported on oformr physicians.
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