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Dr. Shelly Taneja, Optometrist - The Brass Monoclebrassmonocle.com/wp-content/uploads/2016/09/Patient_Intake_Form.pdf · PERSONAL EYE HISTORY Reason for today's visit: Do you wear

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Alberta Health Care

Dr Shelly Taneja &

Dr. Shelly Taneja, Optometrist

mm/dd/year

Brass Monocle