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Eye Exam Form Template 2005-2022

Eye Exam Form Template 2005-2022

Use a printable eye exam forms 2005 template to make your document workflow more streamlined.

Only) N5 at 30-50cm N14 at 100cm Refractive limits with effective cycloplegia (Cyclopentolate HCL 1% is to be used) Right Left Right Left Hypermetropia Hypermetropic astigmatism Myopia Myopic astigmatism Heterophoria Exophoria Esophoria Hyperphoria Hypophoria General physical examination Normal or abnormal Comments Fields of vision Diseases of the eyelid Fundus examination External and anterior segment Right Left Right Left Intraocular pressure (mmHg) History of refractive...
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