Preparing for Your Telehealth Appointment With Shields & Shields

Preparing for Your Telehealth Appointment

Are you a Pennsylvania resident? Were you scheduled for a Telehealth apppointment? Please follow the steps below.

You should have signed a consent form prior to your appointment being scheduled HOWEVER, if you were scheduled for a Telehealth appointment and you did not sign a consent, you will need to do so.


Forms need to be signed and returned to

Step 1

Take photographs of the affected eye no more than 24 hours before your appointment:

Using a cell phone camera with the flash turned ON, hold phone 4-8 inches away from the patient. To ensure focus, tap the screen until the picture is clear.
Do not zoom. Make sure patient holds both top and bottom eyelids open.

Screen Shot 2016-05-05 at 1.40.17 PM

Take photographs of the following gazes for the affected eye(s):

Screen Shot 2016-05-05 at 1.51.53 PM


Email photographs of the affected eye to

Step 2

Do you currently have any...





Blurry/Double Vision?

Send your answers to

Step 3

Please take the following 3 online vision tests (click here) and send your results to

Step 4

Your video consultation will take place using the Patient Portal.
This can be done via the website or the PocketPatient app:

modmed Telehealth Patient Instructional Videos