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Intake questionnaire

Privosegtor Investigation in Optic Neuropathies Efficacy Evaluation Research

Applying to Kahana Oculoplastic and Orbital Surgery · Livonia, Michigan

Answer a few short questions to share with the research team.

0 of 4 answered

1. Are you between 18 and 50 years old?
2. Have you been diagnosed with Optic Neuritis?
3. Are you currently pregnant or breastfeeding?
4. Are you able to travel to Livonia for study visits?