Get the free Lid crutch fitting referral form - PolyU
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SCHOOL OF OPTOMETRY Date:Lid Crutch Fitting Referral Form To: Optometry Clinic, School of Optometry, Room A034, The Hong Kong Polytechnic UniversityFrom: Address:submission: https://polyu.hk/wmHZd
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How to fill out lid crutch fitting referral
How to fill out lid crutch fitting referral
01
Obtain a prescription for lid crutch fitting referral from your ophthalmologist
02
Contact a certified oculoplastic surgeon or optometrist who specializes in lid crutch fitting
03
Schedule an appointment for the fitting referral
04
Bring the prescription and any relevant medical records to the appointment
05
Follow the instructions of the specialist during the fitting process
Who needs lid crutch fitting referral?
01
Individuals with conditions such as ptosis (drooping eyelid), ectropion (outward turning eyelid), or any other eyelid malposition that requires the use of a lid crutch for support
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What is lid crutch fitting referral?
Lid crutch fitting referral is a referral for fitting lid crutches to help with the management of certain eyelid conditions.
Who is required to file lid crutch fitting referral?
Ophthalmologists or optometrists who have determined that a patient would benefit from lid crutch fitting are required to file the referral.
How to fill out lid crutch fitting referral?
The lid crutch fitting referral should be filled out by the referring eye care provider with all the necessary patient information and reason for the referral.
What is the purpose of lid crutch fitting referral?
The purpose of lid crutch fitting referral is to ensure that patients with eyelid conditions receive the appropriate management and care through the fitting of lid crutches.
What information must be reported on lid crutch fitting referral?
The lid crutch fitting referral should include the patient's name, date of birth, medical history, reason for the referral, and any relevant test results.
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