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Refractive Surgery Center Naval Hospital Bremerton - med navy 2026

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The document outlines the authorization process for corrective eye surgery at the Naval Hospital Bremerton for a service member. It details the required written approval from the Commanding Officer, preoperative and postoperative commitments, and the necessary follow-up care. The document emphasizes the importance of adhering to scheduled appointments and understanding potential risks associated with the surgery.

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Click ‘Get Form’ to open the Refractive Surgery Center Naval Hospital Bremerton form in the editor.
Begin by entering the service member's details, including Rank, Name, and SSN in the designated fields at the top of the form.
Specify the type of surgery and scheduled surgery date. Ensure these fields are filled accurately to avoid any delays.
Review the commitment checklist section. Both the member and Commanding Officer should initial next to each statement to confirm understanding and agreement.
If follow-up care will be provided by an alternate eye care provider, ensure their printed name and phone number are included, along with their signature.
Finally, both the service member and Commanding Officer must sign and date at the bottom of the form to authorize surgery and compliance with follow-up requirements.

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