Get Cataract Referral Template - Cambsphn.nhs.uk - Cambsphn Nhs

This guide provides clear instructions on how to complete the Cataract Referral Template designed for healthcare professionals. Following these steps will help ensure accurate referrals for cataract surgery.

Follow the steps to successfully complete the Cataract Referral Template.

1. Press the ‘Get Form’ button to access the Cataract Referral Template and open it in your preferred online editor.
2. Enter the patient's name, ensuring accurate spelling for identification purposes.
3. Fill in the details for the GP and optometrist, including names and contact information as applicable.
4. Input the patient's date of birth, current address, and postcode. Ensure the contact telephone number is accurate.
5. Provide the NHS number, if available, to facilitate tracking and processing.
6. Indicate whether the GP is located in Cambridgeshire by selecting 'Yes' or 'No'.
7. Outline the reason for the referral and list any symptoms the patient is experiencing.
8. Complete the ocular co-morbidity and previous cataract grade sections by circling the appropriate conditions and grading levels.
9. Determine whether the patient requires surgery for the right or left eye and indicate in the provided section.
10. Evaluate the criteria for referral by circling 'Yes' or 'No' for each condition listed, ensuring all applicable criteria are addressed.
11. List the intraocular pressure and cornea assessment results using the appropriate fields.
12. Complete the medical history section by circling 'Yes' or 'No' as appropriate, and include any necessary social history or transport needs.
13. Ensure risks and benefits related to the surgery have been discussed and documented, including whether written information was provided.
14. Sign and date the form at the bottom, confirming that the patient understands and consents to the referral and the sharing of their information.
15. Once all sections are filled out, save the changes, and consider downloading, printing, or sharing the completed form as needed.

Complete the Cataract Referral Template online to ensure efficient and accurate patient care.