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Bailey Cove Eye Care - Dr Ferrell
Fill this out before your fist visit. This lists personal information such as insurances and demographics, as well as privacy information that is required by the government. Fill this out before your first visit. This information is required so that we can better understand your medical and eye history so that we can serve your needs as best possible. Many bodily diseases have components that effect the eye. Fill out before a return visit. This is for existing patients to list medical and eye health changes that have occurred since their last visit.
Notice of Privacy Practices |