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OPTOMETRIST REFERRAL FORM FAX to (02) 8115 0799 or email to inquiries cfeh.com.AU for UNSW Kensington or Sutherland Hospital Patient contact detailsAssistance requiredTitle: Dr Mr Mrs Ms Other: First
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How to fill out optometrist referral form

How to fill out optometrist referral form
01
To fill out the optometrist referral form, follow these steps:
02
Start by providing your personal information, including your full name, date of birth, and contact details.
03
Next, fill in the details of your primary care physician or referring doctor, including their name, contact information, and any relevant medical ID numbers.
04
Specify the reason for the referral, such as the symptoms or condition you are experiencing that requires an optometrist's evaluation or treatment.
05
If applicable, include any relevant medical history or previous treatments that may help the optometrist have a better understanding of your situation.
06
Indicate any specific preferences or requirements you have, such as the desired location or language of the optometrist.
07
Finally, sign and date the form before submitting it to the appropriate healthcare provider or insurance company.
Who needs optometrist referral form?
01
The optometrist referral form is typically required for individuals who need to consult or receive treatment from an optometrist.
02
Common situations where a referral may be necessary include:
03
- Routine eye exams or vision screenings
04
- Eye conditions or diseases, such as cataracts, glaucoma, or macular degeneration
05
- Contact lens fittings or prescriptions
06
- Eye injuries or emergencies
07
- Post-operative care following eye surgeries
08
Please note that the specific requirements for a referral may vary depending on your healthcare provider or insurance policy. It's important to check with them to determine if a referral is needed before scheduling an appointment with an optometrist.
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