Your Blue Book is published by Retina New Zealand Inc.
RETINA NZ
FIGHTING BLINDNESS
0800 233 833
04 299 1801
PO Box 2232
Raumati Beach
Paraparaumu 5255
retina@retina.org.nz
www.retina.org.nz
Retina New Zealand Inc. would like to acknowledge the financial
assistance from;
• Royal New Zealand Foundation Of The Blind
• New Zealand Lottery Grants Board
We thank you for your support on this project and our other important
peer support and public awareness projects.
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0800 233 833
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PO Box 2232
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Paraparaumu 5255
retina@retina.org.nz
www.retina.org.nz
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Are you a member of the Foundation of the Blind? YES / NO
SIGNED
............................................................ DATE .................................
Retina NZ has a database showing the type of macular and
retinal conditions that our members have. We ask that new
members complete the Database Information Form. The
information in this form will be securely stored on the data
information file. It will only be released to or accessed by
Society office holders to enable these persons to do their
work. Organisers of local meetings will only have access to
the contact details of people in their local area.
Database Information Form
My diagnosed eye condition is: ...................................................
Please tick in the brackets on the left hand side of the page if
any of this information applies to you.
(
)
I am a parent of a child/young adult with a retinal or macular
condition (State what) ...........................................................................
( )
I am the partner/sibling/ friend of someone with a retinal or macular
condition (State what) ............................................................................
(
)
I am an ophthalmologist
(
)
I am an optometrist
(
)
I am a scientist
(
)
I am a healthcare or RNZFB professional
Important Phone Numbers
Retina NZ …......................................................... 0800 233 833
RNZFB …............................................................. 0800 24 33 33
Your Eye Specialist _________________________________________
Other _____________________________________________________
___________________________________________________________
___________________________________________________________
Other publications from Retina New Zealand Inc.
• Coping with some sight loss or a degenerative retinal condition.
(DL Brochure)
• Supporting people with degenerative retinal disorders.
(DL Brochure)
• Detached Retina – A matter of urgency. (DL Brochure)
• Take the Amsler Test – A self test for early detection of Macular
Degeneration (A5 Card)
We also publish a quarterly newsletter which is available at no cost to
members. It is available in print, audio, or via email as a pdf or text file.
It serves to keep us informed of research updates, clinical trials and
potential treatments, as well as practical advice to help us better
understand our eye problems and the challenges that go with it, as well
as interesting stories of member's personal experiences.
Membership is $20 per year for waged and $10 per year for unwaged
or retired. To join simply fill out the application form and post it to us.
If you're not sure about something or have any questions, simply give
us a quick call on 0800 233 833