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Date: 30 March 2023

Time: 03:29

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

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