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Skin condition(s) If checked, also complete Skin Questionnaire. Eye condition(s) other than diabetic retinopathy . If checked, also complete Eye Questionnaire. (Eye Questionnaire. must be completed by ophthalmologist or optometrist) Other complication(s) (describe): _____ c. Has the Veteran’s DM at least as likely as not (at least a 50% ... ................
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