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Chart #___ Welcome to the TEXAS EYE INSTITUTE. Please complete all the information below. HOW DID YOU LEARN ABOUT TEXAS EYE INSTITUTE? Yellow Pages PhysicianOptometristAd (Paper, Billboard, Mail) InternetPatientOther___If
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First, visit the website www.txeye.com and locate the 'PDFs' section
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Look for the 'Revised Patient Info Sheet 2009 Chart Welcome to Form' document and click on it to open
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Individuals who are visiting www.txeye.com and seeking eye care services or treatment. This form is likely required by the eye care facility in order to gather essential patient information and provide the necessary care. Any new or existing patients may need to fill out this form.
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It is a form for patients to provide updated information to their eye care provider.
Patients who are receiving eye care services.
Patients need to complete the form with their personal and medical information.
The purpose is to ensure that the eye care provider has accurate and up-to-date information about the patient.
Personal information, medical history, current medications, and any changes in health status.
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