Glaucoma Patient Support Group M by fjzhangm

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									GLAUCOMA PATIENT SUPPORT GROUP
The Singapore National Eye Centre Glaucoma Patient Support Group is a non-profit, self-help group which aims to help patients and their families cope with glaucoma. Through regular meetings and activities, it will help patients achieve a more holistic approach to the management of glaucoma thereby leading to improvement in their quality of life.

Please complete the form below by ticking the relevant box(s) below if you wish to join the support group and/or be involved in organizing future support group activities. Both patients and their family/caregiver may join as members. The secretariat will then send you information on future support group activities such as talks. Membership is free. --------------------------------------------------------------

MEMBERSHIP REGISTRATION
Please tick the relevant boxes and complete the portion below. Return the form to the registration counter after the talk. Thank you.
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I would like to join the Singapore National Eye Centre Glaucoma Patient Support Group (GPSG) as a member and receive information on future activities I would like to be involved in organizing future GPSG activities

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Name: ______________________________________________________________ Address: ____________________________________________________________ ___________________________________________________________________ Tel / Handphone: _____________________ E-mail: __________________________ To join, please mail form to Singapore National Eye Centre - Public Relations Dept, 11 Third Hospital Avenue. Singapore 168751 or Fax: 6227 7290 or E-mail meet@snec.com.sg or Tel 6322 8370 / 74


								
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