Serum Eye Drops

This section provides request forms for health professionals regarding the collection and preparation of Serum Eye Drops.

Request Forms and Information Leaflet
Consent for Use of Serum Eye Drops (150F170) (pdf, 113 KB)
This form is to be completed by the ophthalmologist and the patient as consent for first time users of Serum Eye Drops.
Request for Collection, Preparation and Dispensing of Serum Eye Drops (150F029b) (pdf, 161 KB)
This form must be used by Clinicians requesting the collection and preparation of Serum Eye Drops for their patients.
Request for Release of Non-Conforming Serum Eye Drops for Use by Designated Patient on Clinical Grounds (150F029c) (pdf, 88 KB)
Use this form when Serum Eye Drops are required urgently before sterility testing has been completed.
Serum Eye Drops - Patient Information (111I104) (pdf, 104 KB)
This information should be provided by Clinicians to the patient before blood is collected for Serum Eye Drops.

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