Get Review Of Optometry Emergency Telephone Triage Form

Filling out the Review of Optometry Emergency Telephone Triage Form online is essential for ensuring timely and effective care. This guide provides a clear, step-by-step approach to help users accurately complete the form with ease.

Follow the steps to complete the form effectively.

1. Click the ‘Get Form’ button to access the Review of Optometry Emergency Telephone Triage Form and open it in your preferred editing platform.
2. Begin by entering the date and time of the call in the designated field.
3. Identify the staff member handling the call by filling out the staff name section.
4. Provide the patient’s name in the corresponding field.
5. Select whether the patient is established or new by marking the appropriate box.
6. Indicate the referring party’s name, if applicable, in the 'Referred by' section.
7. Fill out the patient’s date of birth or age appropriately.
8. Input the patient’s work and home telephone numbers in the designated fields.
9. Specify which eye(s) the issue pertains to by checking OD (right eye), OS (left eye), or OU (both eyes).
10. Document when the problem began in the 'When did the problem begin?' section.
11. Explain how the problem started in the following space provided.
12. Mark the symptoms the patient is experiencing by checking all that apply from the list.
13. Indicate if the issue has occurred before by providing a simple response.
14. Indicate whether the patient wears glasses or contact lenses by checking the correct options.
15. Note if the patient is diabetic in the appropriate field.
16. List any pre-existing eye problems the patient has in the designated section.
17. Document any regular medications the patient is taking.
18. Indicate any eye medications the patient is currently using.
19. Mention any known allergies in the appropriate field.
20. Fill out where the patient can be reached, either at home or work.
21. Indicate how soon the patient can arrive at the office.
22. Fill in details about the patient's health insurance.
23. Schedule the appointment by noting down the date and time in the final field.
24. Once you have completed the form, review all entries for accuracy before saving, downloading, printing, or sharing the document.

Start filling out your Review of Optometry Emergency Telephone Triage Form online today!