Dr. Don Steensma 465 W. Channel Islands Blvd, Port Hueneme, CA 805/486-3585


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Vision Insurance
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I request that insurance benefits be paid to Dr. Steensma. I allow the release of any personal information necessary to determine insurance benefits. I understand that Dr. Steensma’s office will verify insurance benefits as a courtesy. In the event of the insurance company denying benefits, I will be responsible for paying the charges. We hope that you will find your visit to our office to be a pleasant and interesting experience. If your eyes are dilated during this visit, your vision may be blurred and lights will be bright.
DO NOT LEAVE UNTIL YOUR VISION IS SAFE FOR DRIVING!
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