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Card used to gain valuable information about a patient before their eye exam appointment.
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We have a parent or guardian fill this form out for our existing child patients before their eye exams to let us know what problems they may be having and services they are interested in. The cards are printed on colored paper - yellow for new patients, light blue for established patients. Throughout the appointment, we use this card as a reference to guide our discussion based on the patient's needs. Our adult established patients and adult new patients have their own separate forms. Doctor's orders are printed on the back.
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Cool Springs EyeCare
3252 Aspen Grove #1
Franklin, Tennessee 37067