Home
Forms Library
Ophthalmology referral form

Ophthalmology referral form 2025

ophthalmology referral form Preview on Page 1

Show details

4.8 out of 5

36 votes

The document is an Ophthalmology Referral form used by clinicians to refer patients for various eye conditions such as cataracts, glaucoma, and macular issues. It includes sections for patient and referring clinician details, reason for referral, priority level (emergency, urgent, routine), clinical observations, test results, and consent for information exchange.

Here's how it works

01. Edit your ophthalmology referral form online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send ophthalmologist referral for ophthalmic patients via email, link, or fax. You can also download it, export it or print it out.

How to quickly redact Ophthalmology referral form online

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Dochub is a perfect editor for updating your paperwork online. Adhere to this straightforward guideline edit Ophthalmology referral form in PDF format online at no cost:

Register and sign in. Create a free account, set a secure password, and go through email verification to start managing your forms.
Upload a document. Click on New Document and choose the file importing option: upload Ophthalmology referral form from your device, the cloud, or a protected link.
Make adjustments to the sample. Take advantage of the upper and left panel tools to modify Ophthalmology referral form. Add and customize text, pictures, and fillable areas, whiteout unneeded details, highlight the significant ones, and comment on your updates.
Get your documentation accomplished. Send the sample to other individuals via email, create a link for faster file sharing, export the sample to the cloud, or save it on your device in the current version or with Audit Trail added.

Explore all the benefits of our editor today!

See more ophthalmology referral form versions

We've got more versions of the ophthalmology referral form form. Select the right ophthalmology referral form version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
2019	4.4 Satisfied (48 Votes)
2015	4.8 Satisfied (36 Votes)

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

How do I fill out a medical referral form?

An ideal referral letter should include the following: Personal information. Registered GP Details. The Condition. Medical History. Current and Recent Medication. Referral Details. Reason for referral. Urgency of Referral.

When should I consult an ophthalmologist?

Talk to your eye care specialist if you notice any new symptoms in your eyes, including: Eye pain that doesnt go away in a few days. Blurry vision. Double vision (diplopia).

When to refer to an ophthalmologist?

Significant eye injury, eye pain, or periocular trauma. Symptoms of flashes of light; recent onset of floaters, halos, transient dimming, or distortion of vision; obscured vision; loss of vision or pain in the eye, lids, or orbits; double vision; or excessive tearing in the eye.

What are the indications for referral to ophthalmology?

Minor vessel occlusion Loss of vision (2/52 duration) Macular Hole recent onset CSCR Episcleritis causing concern Ocular cancers basal cell carcinoma ( 6 weeks referral ); squamous cell carcinoma Intraocular tumours - GP will refer on cancer pathway.

Do I need a referral for ophthalmology?

Generally, youll require a referral from an optometrist or your family doctor to see an ophthalmologist. They are secondary care providers, meaning you would only see an ophthalmologist for eye disease that requires advanced medical or surgical care.

When to refer to ophthalmology?

Criteria for Prompt Referral to an Ophthalmologist: Symptoms of flashes of light; recent onset of floaters, halos, transient dimming, or distortion of vision; obscured vision; loss of vision or pain in the eye, lids, or orbits; double vision; or excessive tearing in the eye.

Ophthalmology referral form 2025

Here's how it works

How to quickly redact Ophthalmology referral form online