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E i The determination of whether an impairment substantially limits a major life activity shall be made without regard to the ameliorative effects of mitigating measures such as I medication, medical supplies, equipment, or appliances, low-vision devices which do not include ordinary eyeglasses or contact lenses , prosthetics including limbs and devices, hearing aids and cochlear implants or other implantable hearing devices, mobility devices, or oxygen therapy equipment and supplies; II use of assistive technology; III reasonable accommodations or auxiliary aids or services; or IV learned behavioral or adaptive neurological modifications.

With respect to employment in a foreign country, such term includes an individual who is a citizen of the United States. Such term does not include the use of a drug taken under supervision by a licensed health care professional, or other uses authorized by the Controlled Substances Act or other provisions of Federal law.

It is critical that patients keep to these appointments to make best use of the vaccine. We will offer Pneumovax vaccines to people with chronic respiratory diseases.

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This vaccine is free only in a very limited number of circumstances. For our younger people HPV vaccine reduces the risk of serious consequences of human papilloma virus infection. Contact our nurses for help with all immunisation questions. Our Fees - Rationale We welcome all of our patients and will continue to charge our usual fees and provide our usual services.

As such we have not accepted this subsidy as we believe it will short change the care of Community Card Holders, make GP practices less viable, cause costs to be passed onto non-Community Card holders and probably increase hospital admissions.

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When offered a vaccine we would hope all of our patients take up this opportunity. While we respect your right to decline this vaccination this may limit your access to services, large events and travel and pose a risk to the vulnerable in society. We respect science and leadership in our practice. Vaccination will probably cause a small number of problems which we will deal with as they arise. Vaccination has a proven track record in preventing many diseases most of you have never seen. It is likely to cause us all a little anxiety but we are all being asked to choose between science or the opinions of the untrained.

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We must get vaccinated to protect our children tamariki and mokopuna until such time we get the approval to vaccinate them. I do not wish to engage in a war of wills with people who are anti-vaccination but please remember that to personally be safest we need to encourage everyone to get vaccinated whatever our stance.

He offers a friendly personal approach to his patients. He is interested in skin diagnosis and treatment - using a dermasope for diagnosis and cryo-gun for liquid nitrogen therapy.

Torbay Community Doctors

He has many years experience in removal of skin lesions. Many of our patients are older so he is experienced with multiple and complex problems of elderly patients - Paul also offers a clinic at a local retirement village. Our younger patients are on the increase and so we also have an interest in children s health. We are able to offer care and diagnosis for problems that specifically relate to men and women.

Paul has an interest in issues relating to counselling and mental health.