Cataract Referral template - cambsphn nhs uk - cambsphn nhs 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the patient's name, date of birth, and contact details in the designated fields. Ensure accuracy for effective communication.
3. Fill in the GP’s and optometrist’s names. This information is crucial for referral processing.
4. Indicate whether the GP is located in Cambridgeshire by selecting 'Yes' or 'No'.
5. Detail the reason for referral and any ocular co-morbidities. Use clear language to describe symptoms.
6. Complete the visual acuity section by providing current and previous measurements for both eyes.
7. Circle appropriate responses regarding cataract grade and criteria met for surgery eligibility.
8. Ensure medical history is filled out accurately, circling 'Yes' or 'No' as applicable.
9. Obtain patient consent by confirming awareness of the referral process and signing where indicated.

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