Certificate of visual impairment benefits 2026

1. Click ‘Get Form’ to open the certificate of visual impairment benefits in the editor.
2. Begin by entering the patient’s details in Part 1, including their title, surname, address, and contact information. Ensure accuracy as this information is crucial for identification.
3. In Part 1, the ophthalmologist must tick the appropriate box indicating whether the patient is sight impaired or severely sight impaired. This section also requires their signature and date of examination.
4. Proceed to Part 2 where visual function details are recorded. Fill in the best corrected visual acuity and field of vision for both eyes. If applicable, indicate any referrals for low vision services.
5. Complete Parts 2a and 2b by ticking relevant diagnoses and providing ICD codes if known. This helps in documenting the patient's condition accurately.
6. In Part 3, provide additional information regarding support needs and communication preferences. This section is vital for ensuring that local councils can offer appropriate assistance.
7. Finally, review all sections for completeness before saving or sharing your document directly from our platform.

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