Refer a Patient | Retina Consultants of Southern Colorado

Home
Refer a Patient

Patient Referral

Thank you for trusting Retina Consultants of Southern Colorado to provide the best care for your patients. We do our very best to accommodate your scheduling needs and that of your patients. Online form submissions as well as faxed or emailed referrals will be processed during normal business hours.

If you have an emergency and would like for your patient to be seen as soon as possible, please call us directly at 719-473-9595 ext. 293.

Online Form

We make it easy! Submit a patient referral online using the form below.

Submit A Referral

Fax or Email

You may also fax or email referrals to Retinal Consultants of Southern Colorado. Please include all exam notes, OCT/FA and a copy of patient insurance cards.

Fax: 719-227-0669

Download Fax Referral Form

Request Referral Materials

Thank you for entrusting your patient to our care at Retina Consultants of Southern Colorado. We strive to make the referral process as streamlined as possible. Please contact us if you would like us to drop off referral forms, informational brochures, or other related materials. For emergency appointments please call us at 719-473-9595.

Patient Referral Form

If you have an emergency and would like for your patient to be seen as soon as possible, please call us directly at 719-473-9595 ext. 293.