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First Name
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Are you between the ages of 20-64?
Yes
No
Are you a current patient?
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Tell us some Times and Dates that work for you
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I need new glasses
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No
Maybe
Should we followup via Phone or Email?
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Preferred Optometrist
Dr. Tim Sloss
Dr. Graham Berg
Dr. Diana Balcarras Berg
Dr. Carolyn MacNeil
Dr. Tiffany Sieunarine
Dr. Emily Walsh
Dr. Maggie Porter
Anything else we should know?
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