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Get Moorfields Croydon Rapid Access
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How to fill out the Moorfields Croydon Rapid Access online
Filling out the Moorfields Croydon Rapid Access form online is a straightforward process designed to streamline patient referrals for urgent ophthalmological care. This guide provides clear, step-by-step instructions to ensure that all necessary details are accurately submitted.
Follow the steps to complete the Moorfields Croydon Rapid Access form online.
- Click 'Get Form' button to obtain the form and open it in the editor.
- Enter the patient details in the designated fields. This includes the patient's first name, surname, date of birth (DOB), address, postcode, contact number, and email address.
- Provide the referrer details in the appropriate fields, including the name, role, address, postcode, contact number, and email address of the person referring the patient.
- Indicate the patient's status by selecting one of the options: inpatient or outpatient. If the patient falls under other categories, please specify.
- Detail the presenting complaint and the duration of symptoms by filling in the respective fields provided.
- For visual acuity, enter the best corrected vision for both eyes. Ensure to test both the right eye and the left eye in all patients.
- Include clinical findings and any relevant history in the designated section. You may attach photos, visual fields, or scans if necessary on the following page.
- Select the review needed timeframe by choosing one of the options: same day, 1-2 days, 1 week, or 2 weeks.
- Verify that all fields are completed. Incomplete forms will be rejected.
- Save the completed form as a PDF and email it to moorfields.croydonurgentcare@nhs.net. Ensure to follow up with a phone call if a same-day review is required.
Complete your documents online to ensure prompt patient care.
Please contact the hospital first for appointments at the following sites: Northwick Park 020 3182 4000, 020 3182 4030, 020 3183 4028 or 020 3183 4029; or email moorfields.nwpinfo@nhs.net. Ealing 020 8967 5766. St Ann's 020 7566 2841 or 020 8211 8323.
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