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BEAR EYE CARE WELCOME TO OUR PRACTICE PATIENT INFORMATION (Please print) Patients name ___ Sex M___ F___ Date of Birth ___ Age ___ Social Security ___ Marital Status (circle one) Single Married Widowed
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Your appointment refers to the details of the meeting or commitment scheduled with a specific individual or group.
The individual or party responsible for the appointment is required to file information about it.
You can fill out information about your appointment by providing details such as date, time, location, purpose, and any other relevant information.
The purpose of documenting your appointment is to ensure clarity and organization in scheduling and confirming commitments.
Information that must be reported includes date, time, location, participants, agenda, and any additional details related to the appointment.
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