A PMI EXCLUSIVE PRODUCT!
Eyecare Examination Forms to help you:
- Accurately record what you do for each patient
- Correctly choose office visit codes based on your record
- Do well in audits
- Receive maximum reimbursement for the services you provide
- Keep what you've collected, even if you're audited
Eyecare Examination Forms: $29.95/pack of 250 forms
- Eyecare Exam Form with ROS EX-1001
- Eyecare Exam Form without ROS EX-1002
- Case History /General Eye Care EX-1003
- Case History / Acute Eye Care EX-1004
- Route Slip Form EX-1005
- 8.5" x 11"
- 60# White Offset
- Dark Blue Ink
- Option on forms: Printed Head to Head or Head to Toe
- Printed Two Sides
- Shrink Wrapped Packages of 250 Sheets
- Shipping will be added to all orders.
- There is a 10% price break on packages of 4 or more, any combination!
- 15% discount on packages of 10 or more.
- Use the "red" links above to view the forms
FREE DOWNLOADS ARE AVAILABLE!
Click the links above. You can view the actual sheets using Acrobat Reader.
PMI carefully designed eyecare examination forms that incorporate all the requirements of Current Procedural Terminology (CPT) and Documentation Guidelines. The exam forms incorporate the case history and the patient's demographic data, the physical examination and medical decision making. Using this form will enable you to easily choose the correct office visit code and correct procedure codes by referring to the guidelines printed on the form. Click here for more details! Other exam forms, route slips and case history forms are also available.
PMI offers your BEST source for Optometric paperwork!
Five double-sided sheets that cover the ENTIRE spectrum:
Case History
Family History
Social History |
Past History
Physical Examination
Medical Decision Making |
Eyecare Exam Form
Review of Systems
Present Illness
|
Route Slip
Staff Instructions
Diagnosis Codes
|
If you would like to order any of the Medical Records Forms or learn more about them, contact Joyce Josie.