Get Gos Referral*/notification* Form (*delete As Appropriate) - Hscbusiness Hscni

This guide provides a step-by-step approach to effectively completing the GOS REFERRAL*/NOTIFICATION* FORM for use in healthcare settings. Whether you are a GOS practitioner or a general medical practitioner, this resource will help ensure accurate completion of the required fields.

Follow the steps to successfully complete the form.

1. Press the ‘Get Form’ button to access the form and launch it in your editing tool.
2. Fill in the patient’s name and address in the designated section. Ensure this information is accurate and up-to-date.
3. Complete Part A by entering your details as the GOS practitioner. Include your name, title, healthcare number, and address.
4. Provide the patient's date of birth, home and mobile telephone numbers in the appropriate fields.
5. Enter the prescription details from the previous sight test. This includes specifying the vision, spherical, cylindrical, and axis values for both the right and left eyes.
6. Next, fill in the prescription information from the current sight test, including distance and reading results.
7. Record the intraocular pressures for both eyes, including the measurements and time taken.
8. Assess and document the condition of the optic discs and visual fields as specified.
9. Select the recommended course of action and urgency rating, indicating if an appointment is necessary, or if the patient should be seen urgently.
10. Sign and date the form in the GOS practitioner section.
11. If applicable, proceed to Part B to be completed by the general medical practitioner. This includes signing, dating, and marking if the patient is diabetic.
12. After completing all sections, save your changes. You can then download, print, or share the completed form as needed.

Complete your documents efficiently online today.