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Role * Select… Clinician Technician Administrator Student Other
Facility Type * Select… Hospital Clinic Optometry Practice NGO Other
Affiliated clinic (“NA if not applicable”) *
Country * Select… Afghanistan Albania Algeria Andorra Angola Antigua and Barbuda Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Côte d'Ivoire Cabo Verde Cambodia Cameroon Canada Central African Republic Chad Chile China Colombia Comoros Congo (Congo-Brazzaville) Costa Rica Croatia Cuba Cyprus Czechia (Czech Republic) Democratic Republic of the Congo Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini (fmr. "Swaziland") Ethiopia Fiji Finland France Gabon Gambia Georgia Germany Ghana Greece Grenada Guatemala Guinea Guinea-Bissau Guyana Haiti Holy See Honduras Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Morocco Mozambique Myanmar (formerly Burma) Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria North Korea North Macedonia Norway Oman Pakistan Palau Palestine State Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Qatar Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Korea South Sudan Spain Sri Lanka Sudan Suriname Sweden Switzerland Syria Tajikistan Tanzania Thailand Timor-Leste Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States of America Uruguay Uzbekistan Vanuatu Venezuela Vietnam Yemen Zambia Zimbabwe
Distributor affiliation (if applicable) Select… Albasar Medical Alphanet Arfamex Azonal Casin Device Optical Device Technologies DIOPTIC SpA. Essilor Brazil/multioptica Essilor Denmark Essilor Finland Essilor Norway Essilor Sweden ETO (T) LTD Eyeminds Freedom Distribution Fuji Gankyo Grafton Grupo Colors Hayne Polska Sp. z o. o. Hoddle Health Private Limited Human + Tech (VisionPlus Co. Ltd.) Insight Medical Supplies Kings Mandarin Optical Medicals International Mediconsult AG MedTech Advisors, LLC. MOT S.A. Oftaltech Premier Internacional Saargos SARL Becker Medical Equipment Sismed Skyview Optical Company Limited Socioptica Spectill SA Sover Sunshine Ophthalmic Taiwan Optical Co., Ltd Thien Throung Unique Eye Vision Medical
Deployment partner (if applicable) Select… Emsere Fred Hollows Foundation Australia Fred Hollows Foundation New Zealand OneSight Orbis International Shah Family Trust Sightsavers
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