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Get and Sign Diabetes Eye Examination Report Form

Get and Sign Diabetes Eye Examination Report Form

Create a custom diabetes eye exam report form 0 that meets your industry’s specifications.

Diabetic retinopathy or iris neovascularization requiring panretinal photocoagulation Tractional retinal detachment or vitreous hemorrhage requiring vitrectomy Other Ocular Conditions Not Applicable Cataracts: Does interfere with activities of daily living Does not interfere with activities of daily living Glaucoma: Controlled Sub-optimally controlled Plan of Treatment: Follow-up _____________ weeks/months Refer to Retina Specialist OR: (check appropriate treatment plan) (Circle right eye...
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