|
Header
|
Telemedicine Consent
|
|
Right Eye Changes
• • •
|
Left Eye Changes
• • •
|
|
Free Text
|
|
|
Overall Changes
• • •
|
Accompanied
• • •
|
|
Referral Note Recieved
|
Outside Notes
|
|
Imaging Reviewed
|
Third Party History
|
|
Current Meds
|
|
