Get Photograph Inventory Form

Filling out the Photograph Inventory Form online can streamline the process of submitting photographs to the Reading Center. This guide provides clear, step-by-step instructions to ensure you understand each section of the form, making your submission smooth and efficient.

Follow the steps to complete the Photograph Inventory Form online:

1. Press the ‘Get Form’ button to obtain and open the Photograph Inventory Form in your preferred editor.
2. In the patient information section, enter the Clinic Number, Patient ID, Name Code, Visit Type, and Visit Number. Ensure accuracy as this information is essential for processing.
3. Select the date of visit or check the ‘Missed Visit’ option if applicable. If it is an initial visit, provide the date of randomization.
4. In the photographs section, check at least one box for each field indicating the type of photographs taken: disc, macula, or extra field. If angiograms were taken, identify whether they are enclosed.
5. For the date photographs were taken, fill in the month, day, and year for both color photographs and angiograms if applicable. Provide the photographer certification number as well.
6. In the administrative information section, check if the Reading Center Exudative Event Form is enclosed, and write down your name, fax number, certification number, and the date.
7. Note the date when the form is received at the Reading Center along with the status of materials completeness and if data entry is complete.
8. At this final stage, review all entries for accuracy. After completing the form, save your changes, download the document, print it for your records, or share it as needed.

Complete your Photograph Inventory Form online today to ensure timely processing of your photographs.