Pediatric Ophthalmology Adult Strabismus - New Patient Preview on Page 1

Pediatric Ophthalmology Adult Strabismus - New Patient 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering the patient's first name, last name, patient number, and date of birth in the designated fields at the top of the form.
  3. Proceed to the 'History of Eye Problems' section. Indicate any relevant history by checking 'Yes' or 'No' for each item listed, including glasses, contact lenses, and previous eye surgeries.
  4. In the 'Other Recent Symptoms' section, mark any symptoms that apply. This helps provide a comprehensive view of the patient's health.
  5. Fill out the 'Family History' section by circling or filling in which relatives have experienced specific eye conditions. This information is crucial for understanding potential hereditary issues.
  6. Complete the 'Medical History' section by indicating any existing conditions and listing medications currently taken by the patient.
  7. Finally, review all entries for accuracy before submitting your completed form.

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Strabismus is diagnosed during an eye examination. Evaluation of the eyes and vision should be performed in the pediatricians office at every well-child visit. But if your child is having symptoms of strabismus or other eye disorders at any age, a complete eye examination by an ophthalmologist should be performed.
Specialty information for physicians who treat children and expectant mothers. There are some pediatric vision and eye conditions where a referral should be made to an ophthalmologist directly, such as if any abnormal red reflexes are observed. This includes an absent, white, dull, opacified or asymmetric red reflex.

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