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I have also read and agree to the HIPAA PD Authorization (click here) and the 6over6 Vision Privacy Policy (click here). The PD tool is offered by 6over6 Vision. I understand that I am authorizing For Eyes to disclose my information to 6over6. 6over6 can use my information as described on its Privacy Policy. I understand that For Eyes and 6over6 are independent companies and For Eyes has no control over 6over6 or the 6over6 Privacy Policy.
Please email me a copy of the HIPAA PD Authorization and eSIGN Disclosure to:
From $118.30 Regular Price $169.00
To $153.30 Regular Price $169.00
Including standard prescription lenses
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