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Cambridge shire and Peterborough Clinical Commissioning GroupDirect Referral Form for Cataract Surgery (Completion by Optometrist or GP and for retention in patients hospital notes) It is the responsibility

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How to fill out cataract referral template

01

Begin by gathering all relevant patient information including demographics, insurance information, and relevant medical history.

02

Fill out the patient's current visual acuity in both eyes, along with any symptoms or complaints related to their vision.

03

Document any previous treatments or surgeries related to cataracts, as well as any medications the patient is currently taking.

04

Provide a detailed description of the cataract diagnosis, including the severity and any additional relevant findings.

05

Include any supporting documentation such as imaging results or visual fields testing.

06

Obtain any necessary signatures from the patient or guardian if applicable.

07

Submit the completed referral template to the appropriate provider or specialist for further evaluation and management.

Who needs cataract referral template?

01

Ophthalmologists and optometrists who have identified a patient with cataracts that requires further evaluation and treatment.

02

Primary care physicians who suspect a patient may have cataracts and need to refer them to a specialist for confirmation and management.

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What is cataract referral template?

Cataract referral template is a form used to refer a patient to an ophthalmologist for cataract surgery.

Who is required to file cataract referral template?

The referring healthcare provider, such as an optometrist or general practitioner, is required to file the cataract referral template.

How to fill out cataract referral template?

The cataract referral template should be filled out with the patient's personal information, medical history, reason for referral, and any relevant test results.

What is the purpose of cataract referral template?

The purpose of the cataract referral template is to facilitate the referral process for cataract surgery and ensure that all necessary information is provided to the ophthalmologist.

What information must be reported on cataract referral template?

The cataract referral template should include the patient's name, date of birth, contact information, insurance details, medical history, reason for referral, and any relevant test results.

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