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Demographics

To speed up your visit, please fill & submit online If:

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     âœž You are new to The Christian Eye Clinic.

     âœž It has been more than three years since your last exam.

     âœž There is a change in your demographics or health conditions.

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 A separate form is needed for each patient.

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The Christian Eye Clinic   -   Policy Statement

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Phone: (515) 333-3333     |    Email:  Contact Us     |     Address: 7011 Douglas Ave, Urbandale, IA 50322

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Copyright © 2021 The Christian Eye Clinic

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