female in lab coat looking at patient

Refer Patients

Thank you for your interest in referring your patient to us. We take a collaborative approach to eye health management.

Provider Referral Form

  • Download and complete the Clinical Provider Referral Form. Include the reason for the referral request. Be as explicit as possible.
  • Include patient demographic information (e.g., contact information and insurance provider).
  • Include applicable clinical notes (such as recent eye exams, diagnostic codes, referring provider examination, diagnoses). For specialty appointments, exam records are needed prior to patient scheduling.
  • Include referring provider’s office phone and fax numbers.
  • Specify when you would like the patient to be seen.
  • Fax form and relevant information to the appropriate location and clinic.
  • To expedite the referral process, call to register the patient or have the patient call.
  • Questions? Call us.

Contact Information

Commonwealth Ave. Office
617-262-2020 |  Fax 617-236-6323
For primary eye care, contact lens, specialty contact lens, and dry eye services.

Commonwealth Ave Specialty Clinic
617-396-8531 | Fax  617-396-8517
For vision therapy, myopia control, pediatrics, and low vision services.

Roslindale Office
617-323-7300 | Fax: 617-553-2121
Appointments for primary eye care, pediatrics, and contact lens services.