Referral Forms for Medical Professional Use
When to refer to a doctor of optometry
Prompt recognition and
appropriate referral of ocular emergencies are essential in the primary care
setting when the outcome may depend on timely management. All ocular
emergencies, including a penetrating globe injury, retinal detachment, central
retinal artery occlusion, acute angle-closure glaucoma, and chemical burns,
should be referred immediately to an eye care professional. Clinics generally
reserve a few appointments per day for medically necessary referrals. They have
the proper knowledge, tools and equipment necessary to diagnose, treat or refer
to a specialist (if needed).
A list of examples of medically necessary conditions, with ICD9 Codes, is here.
To find a doctor of optometry
near to your patient, use the Find an Optometrist link in the top left corner and enter the patient's postal code or the optometrist's name you wish to refer to.
For additional information regarding medically necessary services, please call
(780) 451-6824.