Referring Professionals

Referral Process

If you have a patient who you believe needs a functional vision evaluation, complete our Referral Form below and fax it to our office for review.  Include any pertinent medical records with the Referral Form.

We will contact the patient within 3 business days of receiving the information.

Referral Form


Information & Handout Request

As a professional courtesy, we provide educational brochures and handouts (brochure inserts) for your clinic free of charge.

Fill out the Brochure Request Form below, fax/mail/email it back to us, and we will mail you the materials.  Simple as that!

Brochure Request Form


A copy of the report and exam findings will be sent to the referring professionals.

We do not do general/primary eye care.  All patients will be referred out to a primary clinic for all general/primary eye care and glasses needs.