First Choice Eyecare - Consortium of Community Optometrists by Ut4uFcs

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									         First Choice Eye Care - Consortium of Community Optometrists
                          NHS Blackpool and NHS North Lancs
                     Primary Care Based Services for Minor Eye Conditions

Early Keratoconus (not requiring surgery)       Potential Glaucoma                   
Dry Eye                                         Suspected raised IOP’s               
Blepharitis                                     Abnormal Fundus Appearance/
Floaters/Photopsiae                             Naevus/Naevi                         
In growing Lashes/Trichiasis                    Superficial Corneal Foreign Bodies   
Early Dry Macular Degeneration                  Persistent Conjunctivitis            
(Patients not requiring BD8 registration)        Bilateral Red Eye                    
                                                 Lid lumps (not requiring surgery)    

PATIENT NAME                                     GP NAME

ADDRESS                                          ADDRESS


DOB

TEL No                                           TEL No

HOSP No (if known)                               FAX No

NHS No (if known)

DATE OF REFERRAL:


PRESENTING OPHTHALMIC CONDITION/SYMPTOMS




PREVIOUS OPHTHALMIC HISTORY




PREVIOUS MEDICAL HISTORY (including medication)




       PLEASE TURN OVER FOR LIST OF PARTICIPATING COMMUNITY OPTOMETRISTS
          Practice & Address                           Practitioners

Broadhurst Optometrists                 Mike Broadhurst
4 Station Square Lytham                 Teresa Broadhurst
01253 734791                            Priya Vithlani
                                        Lisa Brown

Broadhurst Optometrists                 Mike Broadhurst
287 Dickson Road Blackpool              Teresa Broadhurst
01253 352918                            Priya Vithlani
                                        Lisa Brown

Broadhurst Optometrists                 Mike Broadhurst
98 Friargate Preston                    Teresa Broadhurst
01772 822591                            Priya Vithlani
                                        Lisa Brown

Clare and Howard Opticians              Sarah Coupe
21 High St Garstang                     Paula Wilson
01995 602014

Cottam and Glaister Optometrists        Vic Cottam
38 The Square St Annes                  Paul Bourner
01253 723866

Derek Pellowe Optometrist               Derek Pellowe
191 Preston New Road Blackpool
01253 697385

GR Hardwick Optometrists                Gary Hardwick
Rossall Road Cleveleys                  Kate Hurt
01253 853030                            Drew Thompson
                                        Julia Stanley

GR Hardwick Optometrists                Gary Hardwick
7a Dicconson Terrace Lytham             Kate Hurt
01253 794522                            Drew Thompson
                                        Julia Stanley

Graham Robinson Optometrists            Graham Robinson
Whitegate Drive Blackpool
01253 392726

L Woodhouse Optometrists                Steve Woodhouse
Highfield Road Blackpool
01253 341955

Leesons Opticians                       Matthew Nelder
79 Waterloo Road Blackpool              Jane Barker
01253 342437                            Jo Hyde

Nelder Opticians                        Matthew Nelder
27 Victoria Road East Thornton          Jane Barker
01253 825176                            Jo Hyde

Roberts and Quinn Opticians             Jane Quinn
114 Victoria Road Cleveleys
01253 869594

Specsavers Opticians                    Peter McArdle
6-8 Abingdon Street Blackpool           Rebecca Kellett
01253 295966                            Victoria Sharp

Vision Express Opticians                Phillip Harper
73/75 Church Street Blackpool FY1 1HU   Michelle Bleasdale

Wooding Optometrists                    Paul Vann
101a Red Bank Road Blackpool            Julia Wooding
01253 353423                            Derek Pellowe

Wooding Optometrists                    Paul Vann
57 Whitegate Drive Blackpool            Julia Wooding
01253 396867                            Derek Pellowe

								
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