New Patient Supporting Documents for the Ophthalmology Department


Diagnosis /Symptom: Chief Ocular Complaint 

What should the referring provider send?

  1. A complete list of all medications
  2. Medical records regarding relevant past evaluation, treatment and Progress notes
  3. Any relevant imaging such as:
    Visual Fields
    MRI/CT reports
    OCT's

Diagnosis /Symptom: Strabismus

What should the referring provider send?

  1. A complete list of all medications
  2. Medical records regarding relevant past evaluation and treatment with glasses, surgery or vision therapy
  3. Any relevant imaging

Diagnosis /Symptom: Vision problem

What should the referring provider send?

  1. A complete list of all medications
  2. Medical records regarding relevant past evaluation and treatment, including:
    Vision screening results
    Prior use of glasses
    Prior treatments
    Patching
    Atropine eye drops
    Eye surgery

Diagnosis /Symptom: Screening for eye problems associated with systemic disease

What should the referring provider send?

  1. A complete list of all medications
  2. Medical records regarding relevant past evaluation and treatment, including:
    Complete list of diagnoses
    Lab work
    Neuroimaging results such as CT/MRI of brain and orbits
    Results of previous ocular evaluations
    Previous ocular treatments
  3. List of ocular complaints