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Dr. DE-Allen                                                      Family Eye Care, 205-A Hillstne Drive, Jamestown, NC
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Downloads
These files are in PDF format. In order to download them, you will need  Adobe Reader or a PDF plug-in for your browser.
Forms you can download before you visit for a checkup:

Patient Information Form                   for new patients and those whose contact information has changed

Medications List                                  for patients taking prescription drugs

Insurance Policy Query                        a guide for asking your insurer about the details of your vision coverage

Snellan eye chart
                                                           Copyright 2009 Sushmita De-Allen    All Rights Reserved