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Pediatric Myopia (Nearsightedness) Study

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Garner, NC

FOR AGES 6-12

DOES YOUR CHILD HAVE TROUBLE SEEING FAR AWAY?

The KIND study will evaluate how effective and safe a type of eye glass lens called DG1 is to slow myopia (nearsightedness) progression in children.

STUDY PROVIDES GLASSES AND EXAMS AT NO COST!

958 Vandora Springs Road Gamer, NC 27529

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Child's Full Name *

Parent/Guardian's Email *

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Child's Date of Birth (mm/dd/yyyy)

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Child's Race(s) / Ethnicity(s)

African

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(including Chinese, Japanese, Korean, Mongolian, and Tibetan)

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(including Native American, Inuit, Métis, and other First Nations)

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Child's Weight Lbs

Weight must be between 6.6 lbs and 700 lbs.

Child's Height Feet

Child's Height Inches

Height must be between 19 inches and 98 inches.

Please check this box if you're willing to travel to Garner, NC.

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