How to refer

Physicians or optometrists can refer patients to EYE REPUBLIC Ophthalmology Clinic. Preliminary telephone inquiries can determine if there is an OCP consultant with expertise in the area of the patient's ocular problem. Patients are evaluated fully to confirm the diagnosis, and assess therapeutic options.

Referring physicians and optometrists may be asked to submit the diagnosis, medical history, and results of an ophthalmologic examination in writing to EYE REPUBLIC Ophthalmology Clinic. Kindly inform us if the referral is for opinion, co-management, or transfer of service.

Please provide us with your complete mailing address and fax number so that we can mail/fax your clinic a formal report. The patient will be furnished a copy of the report. Physicians or optometrists interested in referring a patient to EYE REPUBLIC Ophthalmology Clinic should contact us.

Co-management forms

Please create an account to view and download the pdf files available in this section.

1. Consult referral
2. Co-management
3. Refractive evaluation health history
4. Refractive consult letter