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)  Please save and send in .pdf format
 
Cataract – Enhanced Direct Referral (now managed by Primary Eyecare Services)

Relevant Documents  can be found on the PES website here

Cataract Assessment Questionnaire V2 June 2011

Cataract Surgery Patient Choice April 2025

What is a Cataract leaflet (2013)

 

Cataract – Post Op (now managed by Primary Eyecare Services)

Relevant Documents  can be found on the PES website here

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 User Guide & Trouble shooting

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 & Floaters Triage Referral Sheet V4 April 20

Flashes and Floaters Emergency Referral Template

 

Glaucoma Repeat Readings (now managed by Primary Eyecare Services)

Relevant Documents  can be found on the PES website here

 

Glaucoma Enhanced Referral Service (now managed by Primary Eyecare Services)

Relevant Documents  can be found on the PES website here

Understanding Glaucoma – RNIB.pdf

 

GOS

Making Accurate Claims-England 2024

Vouchers at a Glance 2024

 

Miscellaneous

GNHSFT Dry Eye Guidelines 2024

GLOS1 May 2012

Glos NHSFT Consultants

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

NHS Mail Applications User Guide Aug24

RCOphth Hydroxychloroquine Retinopathy Monitoring Guidelines Dec 2020

Gloucestershire Specific Guidance re Hydroxychlororoquine Retinopathy Monitoring

VCHP Gloucester Clinic Flyer

 

Newsletters

LOC Newsletter December 2024

LOC Newsletter August 2024

LOC Newsletter May 2024

LOC Newsletter December 2023

LOC Newsletter September 2023

LOC Newsletter May 2023

LOC Newsletter August 2022

 

Safeguarding

Gloucestershire Safeguarding Children Partnership

Gloucestershire Safeguarding Adults Board

 

Sight Impairment

Gloucestershire Low Vision Service Providers May 2024

ECLO Referral Form

Gloucestershire Sight Loss Council publicity leaflet

Low Vision Leaflet