Provider Relations
Refer a patient
Thank you for entrusting us with the care of your patient. We promise to uphold the highest standard of individual care for each patient.
Fax completed referral forms to 715.870.2401 or 715.803.2856.
For questions regarding a patient referral status, contact our Referral Coordinators at 715.261.8548.
Records Request
Fax records requests to 715.261.8665.
Glasses and contact lenses prescription request
Please call 715.261.8500 or fax your request to 715.261.8665 for glasses and contact lenses prescriptions.
Referral Forms:
Cataract Referral Form
General Referral Form
Post-Surgical Assessment Report
Refractive Surgery Referral Form