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New York Eye & Ear at Mount Sinai

New York Eye & Ear at Mount Sinai

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Your Name(Required)
For official communication with MyEYES and Patient's HOME data results
I am using this form to serve as my official DME Prescription for the iCare HOME tonometer for at-home RPM monitoring of my patients' IOP.
Would you like us to add you to the drop down list?(Required)
This will make it easier referrals!
Would you like us to send you some HOME brochures for your patients?
To: Attn: Dr. Louis R. Pasquale, 310 E. 14th Street. 319 South Building, New York, NY 10003
Would you like us to send you some HOME brochures for your patients?
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