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Comprehenisve Wellness exam

Comprehensive Medical exam

Comprehensive Contact Lens Exam

Description:
Select this appointment type if you are being seen for your full annual exam and eye health check and you wear contact lenses. Please wear your contacte lenses to the exam and bring your glasses. Depending on your primary complaint and exam findings, medical insurance or a vision plan may be billed.

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Dr. Jennifer DenHartog O.D.

Dr. Jennifer DenHartog O.D.
Dr. Jennifer DenHartog O.D.

Tech Room 4
Tech Room 4

OPTICAL
OPTICAL

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Dr. Jennifer DenHartog O.D.
Dr. Jennifer DenHartog O.D.

For any other appointment needs, please contact the office at 515-512-1444

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27	28	29	30	1	2	3

Provider: Dr. Jennifer DenHartog O.D.

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For any other appointment needs, please contact the office at 515-512-1444

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Notes/Concerns

NOTE: Please select your Medical Insurance. If you have a Vision Discount Plan, please select the Vision Discount Plan after choosing your Medical Insurance Plan. If you choose to pay without using Medical Insurance or a Vision Discount Plan, please uncheck the box.

Medical Insurance None / Private Pay

Vision Insurance None / Private Pay

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April 2025

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