For Referrers

Referring patients to Retina Associates

To refer your patients to one of our doctors, you can submit your referral online, upload your referral or print off the referral form and send back to the practice.

Online Referral

Fill the online form to refer your patient to Retina Associates. A copy of this form will be sent to the practice, as well as the email address you specify.

Upload Referral

Scan and upload any relevant documents. Provide the patient and referrer details, and upload the rest. The original should be given to the patient.

Download Referral

Download a referral form using the link below. There are forms available for every practice location. The form can then be uploaded or sent via fax.