Reason for Visit & Symptoms
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Symptoms (select all that apply)
Screening Questions
Floaters or black spots?
Medical & Ocular History
Patient history
Patient has been told they have...
Family members with...
Current eye drops?
Previous eye surgeries?
Chart Note Preview
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Patient denies: burning, redness, tearing, blurry vision, itching, light sensitivity, dry eyes, eye pain, discharge.