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Vision Screening
Hearing Screening

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By checking this box you confirm that you have read and agree to our terms of service

I hereby consent to have my eyes screened for the presence of glaucoma and/or retinal damage from age related macular degeneration or diabetic retinopathy. I understand that there is no charge for this screening and that I will be notified of the result. Further I understand that I am solely responsible for seeking treatment for any abnormal findings identified.