Claim Forms
LESPR Form (Enhanced Services Patient Record) – for Ophthalmic Claim System
Batches of LESPR forms can be ordered by contacting the FPS Ophthalmic Team.
Please click here to view the Ophthalmic Contact Details for this team. However if your supply is running low you can download the PDF above and print extra forms until your batch arrives
Level 1 Enhanced Service (IOP Repeat Measures)
IOP Repeat Measures (Level I ES) – Service Specification Ver. 5 (Revised: December 2024)
ES Claim for payment form (Level I & Level II) (Revised: December 2024)
Level 2 Enhanced Service (Enhanced Glaucoma & OHT Enhanced Case Finding)
Glaucoma & OHT Enhanced Case Finding (Level II ES) – Service Specification Ver. 5 (Revised: December 2024)
ES Claim for payment form (Level I & Level II) (Revised: December 2024)
Post-Operative Cataract Care Service and Pathway
Post-Operative Cataract Review and Assessment Service – Letter from Mr Raymond Curran June 2024
Post-Operative Cataract Review and Assessment Service – Specification June 2024
Post-Operative Cataract Review and Assessment Service – Contractor Declaration
Post-Operative Cataract Review and Assessment Service – Practitioner Service Agreement
NI PEARS Enhanced Service (Northern Ireland Primary Eyecare Assessment & Referral Services)
NI PEARS Plus Pilot
- NI PEARS Plus Pilot Service Specification – March 2023
- NI PEARS Plus Outcome and Claim Form (PDF Format)
- NI PEARS Plus Pilot Referring Practioner Report – March 2023
- NI PEARS Plus Protocols – March 2023
Important Change to Eye Casualty clinical advice line number
Belfast Trust Eye Casualty Guidance (Updated June 2020)