Veterinary Ophthalmology Exam Form
About this free form template

Professional Veterinary Ophthalmology Exam Forms for Specialist Eye Care

When it comes to diagnosing and treating complex eye conditions in pets, veterinary ophthalmologists need detailed, systematic documentation. Our Veterinary Ophthalmology Exam Form template is designed specifically for specialist veterinary clinics, mobile ophthalmology services, and general practices offering advanced eye care consultations.

This comprehensive template captures everything from initial patient history and vision assessments through to specialized diagnostic testing, eye pressure measurements, and surgical consultation notes—all in one streamlined digital form that integrates seamlessly with your practice management software.

Why Digital Ophthalmology Forms Matter for Your Practice

Traditional paper-based ophthalmology exam forms create bottlenecks: they're time-consuming to complete during consultations, difficult to share with referring veterinarians, and challenging to store securely for long-term patient records. Digital forms through Paperform solve these pain points by:

  • Reducing exam time with conditional logic that shows only relevant questions based on presenting complaints
  • Improving accuracy with structured fields, dropdown menus, and required sections that prevent missed assessments
  • Enhancing collaboration by instantly sharing completed exams with referring vets, specialists, or surgical teams
  • Supporting follow-up care with accessible historical records that track progression of chronic conditions

What's Included in This Template

Our ophthalmology exam form covers the complete specialist eye examination workflow:

Patient Information & History: Capture essential details about the pet, owner contact information, referring veterinarian, and presenting complaint. The form intelligently adapts based on whether this is a new consultation or follow-up visit.

Vision Assessment: Document response to visual stimuli, menace response, dazzle reflex, pupillary light reflexes (direct and consensual), and functional vision testing results for each eye independently.

External Examination: Record findings for eyelids, eyelashes, third eyelid, conjunctiva, nasolacrimal system, and periocular structures with space for detailed observations.

Specialized Testing: Track results from Schirmer Tear Test (STT), intraocular pressure (IOP) measurements using tonometry, fluorescein staining, rose bengal staining, and other diagnostic procedures.

Ophthalmic Examination: Document slit lamp biomicroscopy findings for cornea, anterior chamber, iris, lens, and vitreous, plus indirect ophthalmoscopy results for retina, optic nerve, and fundus.

Diagnostic Imaging: Record findings from ocular ultrasound, electroretinography (ERG), or other advanced imaging when performed.

Diagnosis & Treatment Plan: Provide clear diagnostic impressions, recommended medications, surgical options if indicated, and follow-up scheduling.

Surgical Consultation: For cases requiring surgical intervention, capture surgical recommendations, risk assessment, pre-operative requirements, and owner consent discussions.

Perfect for Veterinary Ophthalmology Specialists

This template is ideal for:

  • Board-certified veterinary ophthalmologists conducting specialist referral consultations
  • Veterinary teaching hospitals documenting student and resident training cases
  • Mobile ophthalmology services seeing patients at multiple clinic locations
  • General practice veterinarians offering advanced eye care services
  • Emergency veterinary clinics triaging urgent ophthalmologic cases

Streamline Your Workflow with Paperform

Paperform makes it incredibly easy to adapt this template to your specific practice needs. The intuitive editor lets you add your clinic logo, adjust questions for your preferred examination protocols, and apply your brand colors—no coding or design skills required.

Integrate with your existing tools: Connect your ophthalmology exam form with your practice management software, send automatic notifications to your veterinary team via Slack or email, and export data to Google Sheets or Airtable for case tracking and research purposes.

Automate post-exam workflows with Stepper: Use Stepper to automatically trigger follow-up actions after each exam submission. For example, send examination summaries to referring veterinarians, schedule follow-up appointments, generate surgical consent forms for cases requiring intervention, or create reminders for medication refill checks.

Collect deposits and consultation fees: Built-in payment processing through Stripe, PayPal, or Square lets you collect specialist consultation fees, diagnostic testing charges, or surgical deposits directly within the form—no separate payment platform needed.

Secure patient records: With SOC 2 Type II compliance and robust data encryption, Paperform provides the security veterinary practices need to protect sensitive patient information and maintain client confidentiality.

Mobile-Friendly for Exam Room Efficiency

Complete ophthalmology exams directly on your tablet during consultations, eliminating the need for paper forms and subsequent data entry. The mobile-optimized interface ensures all form fields, dropdowns, and checkboxes work perfectly on any device, so you can focus on your patient while documenting findings in real-time.

Supporting Referral Relationships

Strong relationships with referring veterinarians are essential for specialist practices. This form template includes dedicated fields for referring veterinarian information and automatically generates professional examination reports that can be sent back to the primary care vet immediately after the consultation—strengthening collaboration and ensuring continuity of care.

Trusted by Veterinary Professionals Worldwide

Paperform is trusted by veterinary clinics, animal hospitals, and specialist practices around the globe for creating professional, HIPAA-alternative compliant forms (note: Paperform is not HIPAA compliant but offers strong security features suitable for veterinary use). With over 30,000 templates and a user-friendly platform, you can have your custom ophthalmology exam form up and running in minutes.

Whether you're documenting complex surgical cases, tracking chronic conditions like glaucoma or progressive retinal atrophy, or providing routine cataract consultations, this template gives you the structured documentation you need while remaining flexible enough to adapt to each unique patient presentation.

Get started today and transform how your veterinary ophthalmology practice captures and manages specialist eye examination data.

Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Built for growing businesses, trusted by bigger ones.
Trusted by 500K+ business owners and creators, and hundreds of millions of respondents. Small and growing teams across marketing, eCommerce, education, and professional services run their forms on Paperform.

Our customers love us, with an average rating of 4.8 out of 5 from 380 reviews across Capterra, Trustpilot, and G2.