Wet AMD Electronic Referral Form

Following a recent audit on the AMD service at MPH.  The Ophthalmology department would be grateful if optometrists used the national recognised wAMD form for referral of suspected wet AMD patients. (Click on the link below for latest version):-

Please click the icon for the updated WET AMD Form.

 

WET AMD Form

The Audit found only 40% of patients with suspected  wAMD were referred using the wAMD form.  It is also important to send suspected wAMD referrals direct to HES and not via GP to avoid unnecessary delays. The form has been slightly amended here as the audit also highlighted that the date of exam and duration of symptoms would be helpful when filling out the form.

This would help get patients triaged most effectively.