Medical Evaluation Report

 

Please send below information to [email protected] (or [email protected]), we will contact with you soon.

1, Your name

2, Gender

3, Email

4, Country

5, How is your central vision and peripheral vision ?

6, Can you still manage your daily life independently ?

7, Do you mind telling your age and how long have you been diagnosed of RP ?

8, Do you have cataract or glaucoma ?

9, How did you first hear about Restorerpvision.com ?

10, Do you have other chronic diseases like hypertension, diabetes or heart diseases ?

11, Other information about your condition you want to share ?

12, Phone number

(If you feel that it’s easier to speak over the phone, and you are comfortable to leave your number, please do so.)

13, In order to help you more efficiently, please attach to us recent medical reports/images, such as scans.

 

Please kindly note :

These two E-mail address :

[email protected] & [email protected]

They are the only authorized E-mail address for China RP Integrative Treatment Center