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Re-Refraction Optical Verification Form

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Verification form for re-refractions.

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$10.00

Data sheet

Pages 1
Customizable Yes

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When a patient has a problem with their new set of lenses, we use this form.  It has places for the opticians, technicians, and doctor to fill out information regarding the glasses, lenses, and patient's vision to help more easily determine what the problem is with all of the information in one place.

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Re-Refraction Optical Verification Form

Re-Refraction Optical Verification Form

Verification form for re-refractions.

Write a review

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Cool Springs EyeCare



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Cool Springs EyeCare
3252 Aspen Grove #1
Franklin, Tennessee 37067
United States