Wet AMD Referral Form

We have introduced a new E-Referral form for the wet AMD service at DBTH. This is to enable fast track referrals to the service electronically when NHS faxes are shut down on 31st March 2020. The form is designed to be filled online and sent directly by clicking on the SUBMIT button as well as for it to be filled and scanned and emailed to the email address mentioned on the form.

To download the form, click here

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