Low Vision Referral - Patient's Eye Report - Utah

Low Vision Referral - Patient's Eye Report - Utah

Low Vision Referral - Patient's Eye Report is a legal document that was released by the Utah Department of Workforce Services - a government authority operating within Utah.

FAQ

Q: What is a low vision referral?
A: A low vision referral is a recommendation made by an eye care professional to a patient who has vision impairment that cannot be corrected with regular glasses, contact lenses, or surgery.

Q: What is a patient's eye report?
A: A patient's eye report is a document that provides information about an individual's eye health, visual acuity, and any diagnosed eye conditions.

Q: Why would someone need a low vision referral?
A: Someone may need a low vision referral if they have vision impairment that significantly affects their daily activities and a regular prescription does not provide sufficient visual improvement.

Q: Who can make a low vision referral?
A: A low vision referral can be made by an ophthalmologist or an optometrist, who are trained in diagnosing and managing eye conditions.

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Form Details:

  • The latest edition currently provided by the Utah Department of Workforce Services;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Utah Department of Workforce Services.

Download Low Vision Referral - Patient's Eye Report - Utah

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