New Patient Special: No charge for the Tear Film Diagnostics for all new dry eye exams ($95 discount). Offer expires: 12/31/23

Referring Doctors

Please complete online referral request or download/print/fax pdf version.

We will contact your patient to schedule their Comprehensive Dry Eye Evaluation.

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Patient Name*
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Referring Doctor Name*
This field is for validation purposes and should be left unchanged.