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Get Uk Certificate Of Vision Impairment 2017-2024

S details Title and surname or family name All other names (identify preferred name) Address (including postcode) Telephone number Email address Date of Birth (dd/mm/yyyy) Sex (delete as appropriate) NHS Number Female/Male/Unspecified To be completed by the Ophthalmologist Tick the box that applies I consider that This person is sight impaired (partially sighted) This person is severely sight impaired (blind) I have made the patient aware of the information booklet, Sight Loss: What.

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