Contrast Sensitivity Tool Request

Request for Contrast Sensitvity Graphic

Please provide the information requested below, and we will mail you a laminated, professionally printed copy of the contrast sensitivity graphic discussed by Dr. Mark Roark on the Independent Insights podcast with Dr. Aaron Werner

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Your Name(Required)

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Practice Address(Required)

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Phone Number

Your Email Address

Are you a current MacuHealth customer?

Do you currently measure contrast sensitivity?

Do you currently recommend supplments?

How soon are you looking to include contrast sensitivity in your practice?

Request for Contrast Sensitvity Graphic

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