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Laura Periman, MD
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Questionnaires
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Both new and existing patients must complete the following medical questionnaires. Thank you for submitting this information to us so we can provide you with excellent vision care. If you have questions about this process, please
contact us
.
Name
*
First
Last
Email
*
Did you complete all information in the CDED SPEED Score Questionnaire above and press the submit button at the bottom of the form?
Yes
No
If you're having trouble, please
contact us
.
Did you complete all information in the DEQ5 Dry Eye Questionnaire above and press the submit button at the bottom of the form?
Yes
No
If you're having trouble, please
contact us
.
Did you complete all information in the VLSQ-8 Questionnaire above and press the submit button at the bottom of the form?
Yes
No
If you're having trouble, please
contact us
.
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