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WET AMD RAPID ACCESS REFERRAL FORM Name of Consultant: Email Address: wetamd.oxon@nhs.net PATIENT DETAILS NAME:Surname DOB:First Headdress:NHS NUMBER: (if known)POSTCODE:DAYTIME CONTACT NO.AND/OR

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How to fill out wet amd rapid access

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Purchase wet amd rapid access testing kit

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Follow the instructions provided in the kit for sample collection

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Fill out the necessary information on the test form

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Use the provided packaging to send the sample to the laboratory for testing

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Who needs wet amd rapid access?

01

Individuals who are at risk for wet age-related macular degeneration (AMD) and want quick access to testing

02

People who have a family history of AMD and want to proactively monitor their eye health

03

Patients with symptoms of AMD who want confirmation of diagnosis for early intervention

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What is wet amd rapid access?

Wet AMD Rapid Access is a program that allows for expedited access to treatment for individuals with wet age-related macular degeneration.

Who is required to file wet amd rapid access?

Patients with wet AMD who are seeking expedited access to treatment are required to file for Wet AMD Rapid Access.

How to fill out wet amd rapid access?

To fill out Wet AMD Rapid Access, patients can consult with their healthcare provider to get assistance with the application process.

What is the purpose of wet amd rapid access?

The purpose of Wet AMD Rapid Access is to ensure timely access to treatment for individuals with wet age-related macular degeneration.

What information must be reported on wet amd rapid access?

Information such as patient demographics, medical history, and the need for urgent treatment must be reported on Wet AMD Rapid Access form.

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