Diabetic Registry
Diabetic Retinopathy Screening
Click here to download the Diabetic Retinopathy Screening form
Click here to download the Patient Consent Form
The Diabetic Retinopathy Registry was initiated by Dr Deon Doubell, from the Eye and Laser Institute, 205 Cape Road Port Elizabeth, telephone +2741 3748938. The registry collects information from 2 sources.
Source 1The healthcare practitioner conducting the annual diabetic retinopathy screening examination completes part A of the form - Click here to download the form.
Source 2Patients with a risk factor in excess of 10 are referred to an Ophthalmologist by the examining healthcare practitioner. The Ophthalmologist will conduct an examination, then enter the information into the Diabetic Retinopathy Registry which can be found in the secure members only section of this website. Click
Patient consent" click here to download PDF the patient consent form "This must be completed before a patient's information is captured into the registry. The practitioner Is required to keep the patient consent form in the patient's file.
Additional information - contact Deon Doubell - 041 374 938