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NICE GLAUCOMA REFERRAL FORM Patient name GP name Optometrist name Date of Birth Address Postcode Tel No: Address Postcode Tel No: Right Sf Axis CSL Prism Base Findings: IOP: Left Add VA Near VA Sf
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How to fill out warrington nice glaucoma referral

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How to fill out Warrington Nice glaucoma referral:

01
Gather patient information: Start by collecting all the necessary details about the patient, including their full name, date of birth, contact information, and any previous medical history related to glaucoma.
02
Clinical details: Provide a detailed description of the patient's current condition, including any symptoms, visual disturbances, or other relevant information. Include any recent eye examination results or diagnostic tests.
03
Past treatments: Indicate any previous treatments or medications the patient has received for glaucoma and their effectiveness. This can help the receiving specialist understand the patient's medical history and make informed decisions regarding their care.
04
Referring clinician details: Fill in the referring clinician's information, including their name, contact details, and any relevant professional affiliations. This will establish the credibility of the referral and allow for easy communication between the referring and receiving parties.
05
Relevant attachments and documents: If applicable, attach any relevant documents, such as medical reports, test results, or images, to support the referral. Ensure that the documents are organized and labeled appropriately for easy reference.
06
Submitting the referral: Follow the designated process for submitting the referral, whether it's through electronic means or a physical form. Double-check all the information provided to ensure accuracy and completeness before submitting.
07
Follow-up communication: After submitting the referral, maintain open lines of communication with the receiving specialist. They may need additional information or have questions about the referral. Respond promptly and cooperatively to ensure seamless coordination of care.

Who needs Warrington Nice glaucoma referral?

A Warrington Nice glaucoma referral is typically required for individuals who have been diagnosed with or are suspected to have glaucoma. This includes patients who have experienced symptoms such as eye pain, blurred vision, increased pressure in the eye, or visual field loss. Additionally, individuals with a family history of glaucoma or those at high risk, such as older adults or those with certain medical conditions (e.g., diabetes), may also need a referral for further evaluation and treatment. Ultimately, the need for a Warrington Nice glaucoma referral is determined by the evaluating clinician based on the patient's specific circumstances and clinical presentation.
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The Warrington Nice Glaucoma referral is a specific form used to refer a patient with suspected or confirmed glaucoma to specialized eye care services in Warrington.
Ophthalmologists, optometrists, or any healthcare provider who suspects a patient may have glaucoma are required to file the Warrington Nice Glaucoma referral.
The Warrington Nice Glaucoma referral form typically requires information about the patient's medical history, eye examination results, and reason for referral. It should be completed accurately and submitted to the appropriate eye care services.
The purpose of the Warrington Nice Glaucoma referral is to ensure that patients with suspected or confirmed glaucoma receive timely and appropriate specialized care to manage their condition.
The Warrington Nice Glaucoma referral may require information such as patient demographics, medical history, eye examination findings, and reason for referral.
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