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33A First Street Franceville, Ontario L9W 2C8 Tel: 5199408426 Fax: 5193411648 info HVDC.ca LEARNING RELATED VISION PROBLEMS PATIENT INFORMATION Male Filename: Date of Birth: (M/D/Y) Age: Home Phone:
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stab- ambly adult intake refers to the intake process for adults with amblyopia (lazy eye) who require stabismus (crossed eyes) correction surgery or treatment.
Patients who have been diagnosed with amblyopia and require stabismus correction are required to file stab- ambly adult intake.
To fill out stab- ambly adult intake, patients need to provide relevant medical information, personal details, and consent for treatment.
The purpose of stab- ambly adult intake is to gather necessary information for the stabismus correction surgery or treatment for adults with amblyopia.
Information such as medical history, current medications, previous treatments, and consent for surgery or treatment must be reported on stab- ambly adult intake.
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