Referrals

Thank you for entrusting University Eye Specialists with your patient’s care.  Use the below webform as a convenient way to send us documentation, imaging (VF, OCT, slit lamp or retinal photos, etc.) and other pertinent information regarding your patient.

This form will be reviewed by the intended physician prior to us reaching out to the patient to schedule any necessary consultations.

Again – Thank you for your trust.  We are grateful for your partnership in care and hope that this improves our ability to meet your patients needs.

Referral

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  • Drop files here or
    Accepted file types: jpg, gif, png, pdf.
  • FOR UT MEDICAL CENTER REFERRALS