Upper Eyelid Blepharoplasty Checklist and Referral Form

Author: James Marshall, Commissioning Manager- Elective Care

Date published: April 2023

Date to review:  April 2028

The referral template/checklist has been updated following a review of the South Yorkshire Commissioning for Outcomes Policy which we would recommend clinicians to use during consultations.

This revised template has been published on SystmOne and also available using EMIS Web.