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EyeCare America Patient Survey

Patient Survey

Thank you for seeking a referral through the Academy's EyeCare America® program. Your feedback is important in helping us improve our services. Please take a moment to complete this brief survey to share your experience with us. 
Program:  *
Were you seen by the EyeCare America ophthalmologist (eye doctor) that you were referred to?
 Yes, I was seen
 No, I was not seen