Forms and leaflets to download

For up-to-date information on referral schemes and Ophthalmology in Gloucestershire please browse this website.

Please contact us here if you need further guidance.

Please note new central booking office address from April 2019

Gloucestershire Royal Hospital
Central Booking Office
8, Pulman Court
Great Western Road
Gloucester
GL1 3ND
AMD/Medical Retina
 
Urgent MED RET referral form (.pdf)
 
Urgent MED RET referral form (.docx)
Nutritional supplementation in ARMD – March 2011
 
Nutritional supplementation in ARMD appendix – March 2011

Cataract – Direct Referral

Cataract Assessment Questionnaire V2 June 2011

Cataract Direct Referral Service Patient Information v4 Nov18 – SUPERSEDED

Cataract – Direct Referral- Patient Information Sheet – SUPERSEDED

What is a Cataract leaflet (2013)

 

Cataract – Post Op

Gloucestershire Cataract – Post Operative Follow Up Community Service Protocol

Gloucestershire Post Cataract Operation Flowchart

Patient Information Leaflet Post Cataract Follow Up SUPERSEDED.pdf

Cataract Post-Operative Patient Satisfaction QuestionnaireSUPERSEDED.pdf

Medisoft Community Cataract Process

Setup your account with Medisoft Portal

Post-Cataract Op Care Lecture by Mr Fadi Alkherdaji FRCOphth

 

Children’s Vision Service

Children’s Vision Service Launch Presentation

Children’s Service Clinical Protocol

DNA Protocol for Children’s Vision Service

Children’s Service Patient Information Leaflet Nov22

Community Optical Practice Children’s Pathway v2

Parent or Guardian Satisfaction Questionnaire for Children’s Vision Service

List of Optical Practices Offering The Childrens Service v8 (April 2023)

List of HWA locality addresses (Nov 2019).pdf

Schools in each HWA locality (Nov – 2019).pdf

Schoolscreener Clinician pages

 

Community Ophthalmic Link

COL Onboarding Flowchart

COL – MFA Set up – START WITH THIS GUIDE FIRST

COL – Ophthalsuite quick start user guide – USE THIS GUIDE AFTER THE MFA SET UP

Community Ophthalmic Link Q and A

 

Falls Service

Focus on Falls

Referral from Falls service to optometrist

Referral from optometrist to Falls service

 

Flashes and Floaters

Flashes and Floaters Pathway Protocols (V4 – 11-8-2021)

Flashes and Floaters Service Patient Information v2 Nov18 – SUPERSEDED

Flashes & Floaters Patient Satisfaction Questionnaire – SUPERSEDED

Flashes & Floaters Triage Referral Sheet V4 April 20

Flashes and Floaters Emergency Referral Template

 

Glaucoma Repeat Readings

Glaucoma Repeat Readings – Pathway and Protocol.pdf

Repeat IOP Patient Information v4 Nov 2018 – SUPERSEDED

Repeat Visual Field Patient Information v4 Nov 2018 – SUPERSEDED

Glaucoma Repeat Readings Patient Satisfaction QuestionnaireSUPERSEDED.pdf

Carer Satisfaction QuestionnaireSUPERSEDED.pdf

 

Glaucoma Enhanced Case Finding

Glaucoma Enhanced Case Finding – Pathway and Protocol.pdf

Enhanced Case Finding Patient Information v4 Nov 2018 – SUPERSEDED

Glaucoma Enhanced Findings Service Patient Satisfaction QuestionnaireSUPERSEDED.pdf

Understanding Glaucoma – RNIB.pdf

 

GOS

Making Accurate Claims England 2022

Vouchers at a Glance 2024

 

Miscellaneous

Dry Eye Syndromes Guideline

GLOS1 May 2012

Glos NHSFT Consultants

Interpretation & Translation Services for Gloucestershire (v2.1 – April 2023)

RCOphth Hydroxychloroquine Retinopathy Monitoring Guidelines Dec 2020

Gloucestershire Specific Guidance re Hydroxychlororoquine Retinopathy Monitoring

VCHP Gloucester Clinic Flyer

 

Newsletters

LOC Newsletter September 2023

LOC Newsletter May 2023

LOC Newsletter August 2022

 

Safeguarding

Gloucestershire Safeguarding Children Partnership

Gloucestershire Safeguarding Adults Board

 

Sight Impairment

ECLO Referral Form

Gloucestershire Sight Loss Council publicity leaflet

Low Vision Leaflet