AAO Quality of Care Secretariat, Hoskins Center for Quality Eye Care
Download Form
The Eye MD Examination Report form is designed to improve communication and understanding about a diabetic patient's retinopathy status.The form can be faxed from the ophthalmologist to the primary care physician, or referring physician.
Download form here (MS Word 45k)
Approvals
American Academy of Ophthalmology, Quality of Care Secretariat, April 2012