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Contact Lens-Portal Authorization

DoDMERB REGISTRATION FORM

HIPAA notice

IN-OFFICE MGD/BLEPHARITIS TREATMENT CONSENT FORM

Insurance Authorization

Medication Authorization

NOTICE OF EXCLUSION FROM HEALTH PLAN BENEFITS

Plaquenil Questionnaire

QTC REGISTRATION FORM

Record Release Form

Retinal Scan Agreement

Telemed Authorization

Vision North Registration Form

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Dry Eye Treatment(s)

Authorization/Waiver Forms

DoDMERB Forms

QTC Forms

New Patient Forms