Hard Copy of Referral Forms

Referral Form – Download

Downloadable hard copy for secure referrals. If our digital form isn’t accessible, please send this version via encrypted email or fax to protect patient privacy.

Co-Management Consent Form – Download

This consent form is completed in-office when surgery is scheduled. It outlines the shared care agreement between our team and yours for seamless co-management.

Co-Management Premium Breakdown – Download

An overview of our co-management premium structure. We’ve partnered with CoFi to offer transparent pricing, financing, and flexible payment options for your patients.

Co-Management Report – Download

This form will be used to document and finalize the transfer of care once your patient is released back to you following surgery.

Refractive Post-Operative Care – Download

A comprehensive guide to post-op care for LASIK, PRK, and other refractive procedures. Given to every patient when surgery is booked to help guide expectations and follow-up timelines.

Cataract Post-Operative Care – Download

A detailed outline of post-op care for cataract and clear lens exchange (CLE) patients, including helpful tips for managing special cases and timelines for follow-up care.

Keratoconus Post-Operative Care – Download

Care guidelines for patients undergoing keratoconus treatments, including crosslinking and CTAK. Provided at the time of booking to ensure patients and providers are aligned on expectations.

FAQs – Download

Quick answers to common questions about referrals, co-management, timelines, and billing — designed to make the referral and co-management process simple and predictable for your team.