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Hearing and Vision Referrals
Please let us know how you plan to proceed with your child's vision or hearing referral below! Thank you for following up!
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Email
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Your email
Student's Name:
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Grade:
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How do you plan to handle the referral?
We have made an appointment and will have the results sent to the clinic
No appointment will be made and we do not plan to follow up at this time
The referral has been lost and we would like another
I would like more information about financial assistance related to a referral
What is the appointment date if you made one?
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