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Ocular History
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Ocular History
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Goals
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Goals
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Current Low Vision Devices
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Current LV Devices
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Current Glasses
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Current Glasses
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Distance VA s Rx:
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Distance VA s Rx
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Near VA s Rx:
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Near VA s Rx
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Distance VA c Current Rx:
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Distance VA c Current Rx
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Near VA c Current Rx:
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Near VA c Current Rx
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Distance VA c Current LV Device:
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Distance VA c Current LV Device
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Near VA c Current LV Device:
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Near VA c Current LV Device
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Manifest Refraction:
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Manifest Refraction
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Contrast Sensitivity
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Contrast Sensitivity
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PRL:
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PRL
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Reading Cognition:
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Reading Cognition
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Assessment
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Assessment
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Plan
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Plan
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Minutes
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John Stuart, Jr., OD
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