TX HHS Form 2001. Interagency Eye Examination Report

The Texas Health and Human Services (HHS) Form 2001, Interagency Eye Examination Report, is a crucial document for patients seeking eye care services. Issued by the Texas HHS, this form serves as a comprehensive tool for healthcare professionals to record patient information and ocular history.

This report is divided into three sections: Patient Information, Ocular History, and Visual Acuity. The first section requires essential details about the patient, including name, date of birth, address, and phone number. The second section allows eye care specialists to document any eye diseases, injuries, or operations that may impact a patient's ocular health. The third section enables healthcare professionals to measure and record visual acuities using standardized scales.

The Interagency Eye Examination Report is an essential tool for ensuring patients receive appropriate services. By completing this form thoroughly, healthcare professionals can provide accurate information about a patient's ocular history and visual acuity, which is critical for developing effective treatment plans. This report is a valuable resource for eye care specialists, patients, and healthcare providers alike.