Your feedback is vital to us as we continue to increase the quality of our services.
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Date: 22 September 2021
Information for referrers
A wet age-related macular degeneration (AMD) rapid access referral form is available to download and complete below.
To complete and submit the form by email:
- click the link to open the PDF document
- save the document in a secure location on your PC or network
- complete the form by typing into the fields. Text will re-size where necessary
- save the document
- email the completed document to firstname.lastname@example.org