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The below questionnaire is to be submitted online prior to your appointment. Carefully preparing this form in advance will greatly increase the efficiency of your Consultation and the information it provides you.

Please review the following form. You do not need to print it. We will have a copy for you to sign in our office. If you have any questions, our staff will be happy to answer them in advance of your appointment.

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Dr. Shamie, Dr. Hura & Dr. Maloney Named 2024 SuperDoctors

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Peyton List’s EVO Surgery at Maloney-Shamie Vision Institute

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All 3 MSVI Docs Voted LA's Top Doctors 2023

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Kylie Jenner’s LASIK @ Maloney-Shamie Vision Institute

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