Thank you for entrusting us with your patient's care. Our goal is to provide premier retina care to your patient as soon as possible. We believe the best care involves collaboration. Once we see your patient, we will communicate our findings and recommendations to you in a timely and efficient manner. Additionally, we will convey the importance of integrating our retina care with yours, to optimize the overall visual health of your patient. From start to finish, we will work with you, and reinforce to your patient your role as their continued provider. We are happy to speak with you over the phone and welcome your comments.

** REFERRING YOUR PATIENT **

Non-urgent referrals, see fax option below OR click here to submit your referral online: REFERRAL PORTAL

For urgent referrals, please click to call: 360-923-4346

We will ask for the following information to begin scheduling the patient in our system:

• Patient’s name
• Patient’s date of birth
• Patient’s contact information: phone number and mailing address
• Patient’s insurance(s)
• Reason for appointment

** TO FAX YOUR REFERRAL **

Please fax your referral request to 360-822-3237 with the following information:

• On the cover page, please note: “Attention: Retina Service Coordinator”
• A copy of your patient’s demographics form that includes name, date of birth, insurance information, mailing address, phone number
• Reason for the referral
• A copy of the patient’s recent visit with you, including the patient’s past medical and surgical history
• A current list of the patient’s medications and allergies

Thank you for your referral and we look forward to working with you and your patient!