If you are an Optometrist or Ophthalmologist who wishes to refer a patient to our clinic please visit our referral pages to download the Patient Referral form or the Diagnostic Requisition form.
Patient Referral
Please use this form if you are an optometrist or ophthalmologist looking to refer a patient to one of our physicians.
Diagnostic Request
Please use this form if you are an optometrist or ophthalmologist looking to refer a patient to our clinic for diagnostic testing.
Medical Retina Referral
Please use this form if you are an optometrist or ophthalmologist looking to refer a patient to Dr. Adil Bhatti, our medical retina specialist.
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