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Refer a Patient: Optometrist Referral Form

If you are one of Assil Gaur Eye Institute’s esteemed Co-managed Care Partners, please fill out the form below, and we will be in touch with you and your patient promptly.

Any questions? Please call our OD Partner number at (866) 945-2745 or email us directly at comanagement@assileye.com.

Also, please FAX the patient’s last exam to (310) 651-2342 to complete your referral.

If you are one of Assil Gaur Eye Institute's esteemed Co-managed Care Partners, please fill out the form below and we will be in touch with you and your patient promptly. Any questions? Please call our OD Partner number at (855) 901-6800 or email us directly at comanagement@assileye.com. Also, please FAX the patient's last exam to (310) 651-2342 to complete your referral.

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Office Location*
Patient Information
Patient Date of Birth*
Address
Procedure Details
Surgeon(s)
Office Location
Please FAX the patient's last exam to (310) 651-2342 to complete your referral.

Frequently Asked Questions

1 How can I refer a patient to Assil Eye Institute?

This page is specifically designed for patient referrals to Assil Eye Institute, which is recognized as a leading Center of Excellence for eye care in Los Angeles. While the specific referral method is not detailed in the provided content, the page's purpose is to facilitate this process.

2 What types of eye conditions and services can be referred to Assil Eye Institute?

Patients can be referred for a comprehensive range of services, including LASIK, Cataract, Glaucoma, and Retinal care. The institute also offers treatments for conditions like Conjunctival Nevus removal and Blepharoplasty.

3 Why should I consider referring my patients to Assil Eye Institute?

Assil Eye Institute is described as Los Angeles's leading Center of Excellence for various eye care needs. They specialize in advanced treatments such as LASIK, Cataract, Glaucoma, and Retinal care, indicating a high standard of specialized service.

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