Diabetes Eye Exam
We understand the importance of working closely with your primary care physician and have provided a form for your ophthalmologist or optometrist to provide information about the health of your eye to your doctor.

Members of NMOS have developed a Diabetes Eye Examination Report form to help promote communication between practitioners. Communication from the Ophthalmologist or Optometrist, performing a diabetes retinal exam, to the patient’s Primary Care Provider (PCP) helps to ensure continuity of care in the ongoing management of the patient. This one-page form’s “check-off” design will save you and your staff time and energy by reducing the task of writing out your findings and treatment plan. Simply download and complete the form, fax or mail a copy to the patient’s PCP and/or the referring practitioner, and keep the original for your records.

To download a universal diabetes exam report click below.
diabetes.pdf


You will need to download adobe acrobat below, if you don't have it.
Download Acrobat Reader

   
 


GENERAL PUBLIC

Awareness Month
Eye Health
Eye Conditions
Medical News
Diabetes Eye Exam
Spanish Resources

Find an Ophthalmologist


PROFESSIONALS

Member Login
Join NMOS
NMOS Annual Meeting

Related Links:
AAO
EyeNet Magazine
EyeCare America
ISRS/AAO
Ophsource
Ophthalmic Societies
Medline

Suggest a Link

New Mexico Association
of Ophthalmic Medical Personnel(NMAOTP)

Joint Commission on Allied Health Peronnel in Ophthalmology(JCAHPO)

Meetings