Eye Care ServicesOCLI Vision Form

Name: Eye Care ServicesOCLI Vision Form - Fill Out and Sign Printable PDF Template | signNow
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Rating: 4.5 (37 reviews)

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To anesthesia Yes/No Do you drink alcohol Yes/No How much Do you smoke Yes/No How much Yes No GENERAL/CONSTITUTIONAL fever heatstroke weight loss weight gain unusually tired serious childhood illness etc. EAR NOSE THROAT hard of hearing congestion earache cough dry mouth etc. CARDIOVASCULAR pacemaker defibrillator High BP racing pulse etc. RESPIRATORY congestion wheezing short of breath etc. GASTROINTESTINAL stomach upset diarrhea constipation hernia ulcers etc. GENITAL KIDNEY BLADDER painful...

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Use Get Form or simply click on the template preview to open it in the editor.
Start completing the fillable fields and carefully type in required information.
Use the Cross or Check marks in the top toolbar to select your answers in the list boxes.
Utilize the Circle icon for other Yes/No questions.
Look through the document several times and make sure that all fields are completed with the correct information.
Insert the current Date with the corresponding icon.
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Finish filling out the form with the Done button.
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Check the Help section and contact our Support team if you run into any problems while using the editor.

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