Referring Providers

Thank you for entrusting us with your patient’s medical and surgical eye care.

At Harvard Eye Associates, we are dedicated to providing the most advanced treatments and procedures in both medical and surgical eye care. Our board-certified physicians have extensive training and experience in each of their specialties and are committed to offering your patients the compassionate, specialized care they need.

Simple Ways to Submit a Referral

1. Online Referral Form

Submit an online referral form instantly by filling out the form below.

Appointment Request Form

2. Shared Referral Dashboard

The HIPAA-secure referral dashboard allows your practice to connect directly with the team at Harvard Eye.

Your team can easily submit new and track past referrals, attach important patient documents, receive live status updates, and utilize a 1:1 chat feature to communicate with one of our referral management team members, all without ever faxing or picking up the phone!

Get Started

3. Fax Referral Form

The fax referral form allows you to refer a patient by printing and filling out the PDF below and faxing it to (949) 356-1693.

Fax Referral Form