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©2019 by Calderdale and Kirklees LOC.

Eye Exam

PEARS:

Forms & Fliers may be downloaded here:

Download Form:

Download Flyers:

Calderdale Area:

Huddersfield Area:

North Kirklees Area:

Window Poster:

Optix Template:

(unofficial)

Wet ARMD Referral Form:

IClariti Template:

(Unofficial)

L.E.S Pathways & Contracts:

Kirklees Visual Impairment Network:

York Optical Society

(for additional CET)

Assessment Form:

Assessment Form:

Assessment Form:

Claim Form:

Claim Form:

Claim Form:

Claim Form:

Cataract Referral Refinement

Assessment Form:

Heading 2

Claim Form:

Cataract Referral Refinement

Assessment Form:

Optix Template

(unofficial)

 

Claim Form:

Post Op Cataract

Assessment Form:

Optix Template

(unofficial)

Claim Form:

Glaucoma Referral Refinement

Assessment Form:

Optix Template

(unofficial)

Claim Form:

Ocular Hypertension Monitoring

Assessment Form:

Optix Template

(unofficial V.1&2)

 

Claim Form:

Additional support material click:

Safe Guarding Calderdale:

Safe Guarding Kirklees: