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Page 1: bergusoptometric.combergusoptometric.com/download/i/mark_dl/u/2026439/13252570/HIPPA.pdf · Claire Bergus, OD 772 County Street, Taunton, MA 02780 (508) 880-9505 Email: cbergusod@gmail.com

Page 2: bergusoptometric.combergusoptometric.com/download/i/mark_dl/u/2026439/13252570/HIPPA.pdf · Claire Bergus, OD 772 County Street, Taunton, MA 02780 (508) 880-9505 Email: cbergusod@gmail.com

Page 3: bergusoptometric.combergusoptometric.com/download/i/mark_dl/u/2026439/13252570/HIPPA.pdf · Claire Bergus, OD 772 County Street, Taunton, MA 02780 (508) 880-9505 Email: cbergusod@gmail.com

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