Refer A Patient

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Diamond shape
Diamond shape
Diamond shape

Refer a Patient

ReFocus Eye Health makes referrals simple and collaborative. Use the form to refer your patient, while maintaining your primary doctor–patient relationship. Our team will coordinate scheduling and keep you informed at every step.

Fax Referrals

You can also fax your referral requests to 844-512-2422. For Manchester, CT referrals, please fax to 860-643-4901

Care Coordination

We respect your clinical relationship. After the consult, patients are returned to your care whenever clinically appropriate, with timely notes and recommendations. For urgent cases, indicate “Urgent” in the form or fax cover, we’ll prioritize same-day/next-day scheduling when possible.

Referral Form

Please select a location to view the form.

One Mission,
Exceptional Patient Care

9 states • 80 locations • 165+ physicians • 1000+ staff
One Network, Stronger Together