OnlineReferral

Simple Ways to Submit an Online Referral:


NEW! SHARED DASHBOARD

Introducing our new shared HIPAA-secure referral dashboard via Phreesia. Your team can easily submit new referrals, track past referrals, attach important patient documents, receive live status updates, and utilize a 1:1 chat feature to quickly communicate with one of our scheduling representatives, all without ever faxing or picking up the phone!


Want to utilize the hub?  GET STARTED      Already signed up?  DASHBOARD LOGIN 

ONLINE FORM

Fill out our Online referral form, submitting an online appointment request instantly.

PRIOR ONLINE REFERRAL FORM

Do you still want to use our previous online referral form? Its not gone yet.

PREVIOUS ONLINE REFERRAL FORM

FAX OR EMAIL

If you prefer to continue to fax or email referrals, download the attached Patient Referral Form, fill out all fields, and send it along with the required patient documents: exam notes, imaging: OCT/FA, demographics, and copy of patients’ insurance cards.

Contact Us

We look forward to hearing from you.

Locations

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Hours of Operation

Our Regular Schedule

Primary Office

Monday:

7:00 am-5:00 pm

Tuesday:

7:00 am-5:00 pm

Wednesday:

7:00 am-5:00 pm

Thursday:

7:00 am-5:00 pm

Friday:

7:00 am-5:00 pm

Saturday:

Closed

Sunday:

Closed