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