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WebEYE DOCTOR’S EXAMINATION * Date of examination: * Next Visit: (in months) Diagnosis: Right Eye Left Eye Both Eyes . ... If you have questions about the form, please call: 855-771-EYES (3937) Please fax completed forms to: ... NY 10010 . www.edvisionservices.org. E12S DOHMH-DOE (Rev. 03-2024) WebAt every eye-exam you’ll receive the highest level of care and personalized attention. Our board-certified Optometrists are trained to perform comprehensive eye exams using the latest technology. From routine eye-exams to diagnosing and treating vision problems, our doctors and eyewear specialists are here to help. LEARN MORE karhu cross country boots
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