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Practice Name
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Contact Information
Phone Number
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Email Address
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Location
Website (Optional)
Google Maps Link
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City/Region
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Full Address
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Operating Hours
Sunday to Thursday
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Friday
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Saturday
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Services Offered (Select All That Apply)
Myopia Control Treatments
Orthokeratology (OrthoK)
Myopia Control Contact Lenses
Atropine Treatment
Regular Myopia Management
Other (Please Specify)
(Please Specify)
(Required)
Practitioner Information
Name of Primary eye care Practitioner
(Required)
Upload Your Qualifications and Specialization
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Accepted file types: pdf, Max. file size: 256 MB, Max. files: 1.
Verification
Upload Your Professional Credentials (e.g., SCFHS License, Myopia Management Certifications)
(Required)
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Select files
Accepted file types: pdf, Max. file size: 256 MB, Max. files: 1.
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