Referrals for cataract and Action on cataracts, evidence- 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling out the 'Patient details' section. Enter the patient's surname, first name, date of birth, and contact information including telephone and mobile numbers.
3. In the 'Referring clinician’s details', provide your name, GOC number, practice name, and address. Ensure all fields are accurately completed for effective communication.
4. Specify the 'Reason for referral' by ticking the appropriate box such as Cataract or other conditions. Indicate the priority level: Emergency, Urgent, or Routine.
5. Complete the 'Tonometry' section by entering readings for both eyes (RE and LE) along with any relevant observations regarding ocular history and medication taken.
6. Fill in 'Prescription details' including vision measurements like Sph, Cyl, Axis for both eyes. Add any other clinical details that may assist in the referral process.
7. Finally, review all entered information for accuracy before saving or sharing your completed form directly from our platform.

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