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Brain Injury Vision Screening
NAME ___ M/DOB ___/___/___AGE___DATE:___He:Visual Acuity
Right Eye
UncorrectedCorrectedDistanceDistanceRight Eyelet EyeNearLeft Eyetooth Eyesight Eyelet EyeNearLeft Eyetooth
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Individuals who have suffered a brain injury in Montreal and are seeking vision-related assistance.
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What is montreal brain injury vision?
Montreal brain injury vision is a form for reporting brain injuries in Montreal.
Who is required to file montreal brain injury vision?
Healthcare professionals and institutions are required to file Montreal brain injury vision.
How to fill out montreal brain injury vision?
Montreal brain injury vision can be filled out online or submitted in person with the necessary information.
What is the purpose of montreal brain injury vision?
The purpose of Montreal brain injury vision is to collect data on brain injuries for research and prevention purposes.
What information must be reported on montreal brain injury vision?
Information such as the type of brain injury, date of occurrence, and patient demographic information must be reported on Montreal brain injury vision.
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