Patient Encounter Form

The EyePACS Patient Encounter Form is a diabetic retinopathy screening encounter form that patients can fill out before their retinal images are taken if a clinic does not have an encounter form already in use. The form covers important information such as patient demographics, clinical history, and a disclaimer that the exam is solely for diabetic retinopathy detection purposes. 

>Download the EyePACS Patient Encounter Form


Pupil Dilation Protocol

For clinics dilating patients:

The EyePACS Pupil Dilation Protocol is a brief protocol that provides a policy, background information, and procedure to be used if your clinic is dilating its patients for diabetic retinopathy screening. 

>Download the EyePACS Pupil Dilation Protocol