# Insurance

Insurance Company Address:
PO Box 3876, Church Street Station, New York


Insurance Company Address:
112 East Post Road, 5th Floor, White Plains


# Patient

Eye History:
Does not wear any corrective lenses. Has 20/10 vision.


Medical History:
Broke right femur when 15. Healthy otherwise

Family History:
Grandfather and father have had multiple heart attacks

Eye History:
Wears corrective lenses with  vision of 20/80.


Eye History:
Wears corrective lenses, with 20/200 vision.


Medical History:
Broke right forearm at age 6. Broke left ankle at age 10. Broke 4 ribs at age 18. Also has suffered 2 mild concussions.

Eye History:
Wears corrective lenses, with 20/100 vision.


Eye History:
Wears corrective lenses, with 20/40 vision.


Eye History:
Wears corrective lenses, with 20/140 vision.


Eye History:
Wears corrective lenses, with 20/30 vision.


Eye History:
Wears corrective lenses, with 20/110 vision.


Medical History:
Has suffered 5 mild to severe concussions.

Family History:
Men in family suffer from prostate cancer.

Eye History:
Wears corrective lenses, with 20/300 vision.


