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MHx/FHx/Meds/Allergies REVIEWED
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OBJECTIVE
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VAsc @ Distance OD
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VAsc @ Distance OS
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VAsc @ Near OD
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VAsc @ Near OS
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VAcc @ Distance OD
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VAcc @ Distance OS
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Type of Correction for VAcc
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LENSOMETRY OD / OS
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AUTOREFRACTION OD / OS
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AUTOKERATOMETRY OD / OS
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COLOR VISION (Ishihara)
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STEREOVISION
• • •
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WELLNESS VF SCREENING
• • •
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PUPILS
• • •
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COVER TEST
• • •
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EOM
• • •
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SUBJECTIVE REFRACTION OD
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CVF
• • •
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SUBJECTIVE REFRACTION OS
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VA OD
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ADD (+)
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VA OS
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NRA(+)/PRA(-)
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NEAR VA OU
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PHORIA DIST
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BINOCULAR BALANCED FINAL SRX
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WET/CYCLO
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PHORIA NEAR
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NPC
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CYCLO VA
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ANTERIOR SEG
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PRE-AURICULAR NODE; Palpable?
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NEUROLOGIC
• • •
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EYELIDS/LASHES
• • •
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OCULAR ADNEXA
• • •
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CONJUNCTIVA
• • •
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SCLERA/EPISCLERA
• • •
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ANTERIOR CHAMBER
• • •
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CORNEA
• • •
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IRIS
• • •
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ANGLE ESTIMATE
• • •
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IOP (Icare) OD/OS
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IOP (Goldmann) OD/OS
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Anterior Segment OD
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Anterior Segment OS
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POSTERIOR SEG
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DILATION
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LENS
• • •
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VITREOUS
• • •
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C/D RATIO OD, OS
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OPTIC NERVE
• • •
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FOVEAL REFLEX OU?
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MACULA
• • •
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POSTERIOR POLE
• • •
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VASCULATURE
• • •
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PERIPHERY
• • •
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Retina OD
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Retina OS
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ASSESSMENT
• • •
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PLAN (needs work)
• • •
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