Get Certificate Of A Person As Sight Impaired (partially Sighted ... - Gov.uk

This guide provides a clear and user-friendly approach to completing the Certificate of a Person as Sight Impaired (partially Sighted) document. By following these steps, you can ensure that all necessary information is accurately filled out to facilitate the registration process.

Follow the steps to effectively complete the certificate.

1. Click ‘Get Form’ button to obtain the form and open it in your preferred tool for filling out documents.
2. Part 1 must be completed by the patient or their representative. Begin by clearly printing the name of the individual being certified, followed by their signature and the date of completion.
3. In this section, indicate whether you are the patient or the patient's representative by ticking the appropriate box.
4. The consultant ophthalmologist will need to complete the next sections. They will tick the box that accurately reflects the patient's condition: sight impaired (partially sighted) or severely sight impaired (blind).
5. Fill in the date of examination in the specified format (dd/mm/yyyy), as this date will determine the start of any entitlements.
6. The consultant should sign and print their name, along with the address of the hospital, in the designated fields.
7. Information regarding the patient's visual function is critical. This includes metrics on visual acuity, field of vision, and whether a low vision service assessment has been conducted. Ensure to fill in all required fields.
8. Complete the sections related to the patient's diagnosis, utilizing the options provided. If necessary, specify further details by circling the appropriate cause of vision impairment.
9. In Part 3, the eye clinic staff, in consultation with the patient, will mark all relevant factors about the patient, indicating any additional needs or services required.
10. Ensure that the patient’s ethnic origin and format preferences for receiving information are documented correctly.
11. Once all sections are completed, review the form to ensure all necessary information is included before saving your changes, downloading, or sharing the document as needed.

Start filling out the Certificate Of A Person As Sight Impaired (partially Sighted) online now!