Get Aoa Diabetes Eye Examination Report 2020-2026

This guide provides clear instructions on completing the AOA Diabetes Eye Examination Report online. We aim to ensure that individuals can easily navigate each section of this important document.

Follow the steps to complete your AOA Diabetes Eye Examination Report accurately.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the date of examination in the designated field. This ensures the report is properly dated and reflects when the examination occurred.
3. In the Patient Information section, input the patient's name and date of birth (DOB). These details are vital for identifying the individual receiving the exam.
4. Indicate the type of diabetes the patient has by selecting Type 1, Type 2, Gestational, or Prediabetes. Additionally, specify the duration of diabetes in years for a clearer clinical context.
5. Document the current diabetes therapy method. Options include , Oral Hypoglycemic, Diet Control, Other Injectable Therapies, or None. Each selection provides insight into the patient's management plan.
6. Record the results of the last finger-stick blood glucose reading reported by the patient. If not applicable, mark as N/A. Also, indicate whether the patient's glucose levels are under control.
7. List the current medications the patient is taking, both ocular and systemic, to give a comprehensive view of their health management.
8. Under Exam Findings, enter the visual acuity and intraocular pressure values obtained during the examination.
9. Note any additional ocular findings, and specify whether they are within normal limits or outside normal limits. Include findings for both OD (right eye) and OS (left eye) as applicable.
10. Indicate if a dilated fundus exam was performed and document the diagnosis. Select from options like No Diabetic Retinopathy, Non-Proliferative Diabetic Retinopathy, Proliferative Diabetic Retinopathy, and Clinically Significant Macular Edema.
11. Outline the management plan, including whether monitoring only is required or if additional testing/treatment is recommended. Clearly specify follow-up timelines.
12. Record any additional comments that are relevant to the patient's care or the examination's findings.
13. Finally, ensure the referring doctor and the type of referral are documented. Add the doctor's signature as the last step.
14. Once all sections are completed, save changes, download, print, or share the form as needed.

Complete the AOA Diabetes Eye Examination Report online today to ensure accurate documentation of your examination.