Refer a Patient to Sure Vision Centers & Aesthetics
We provide comprehensive eye care for referred patients with a focus on efficient access, clear communication, and seamless co-management with referring providers.
We Accept Referrals For
Ocular Surface & Cornea
* Mild to severe Dry Eye Disease
* Meibomian Gland Dysfunction (MGD)
* Blepharitis / Incomplete Blink
* Ocular Surface Disease
* Conjunctivitis
* Keratoconus
* Corneal disease, scarring, or irregularity
* Recurrent corneal irritation / foreign body sensation
Contact Lenses
* Scleral contact lenses
* Rigid gas permeable (RGP) lenses
* Specialty contact lens fittings and refits
Eyelid Conditions
* Chalazion
* Hordeolum (stye)
* Chronic eyelid inflammation
Pediatrics & Myopia Management
* Pediatric eye care (6 months and older)
* Myopia management
Glaucoma & Medical Eye Care
* Glaucoma evaluation and co-management
* Plaquenil (hydroxychloroquine) screening and monitoring
* Diabetic eye disease screening and follow-up
Cataract & Vision Care
* Cataract evaluation and surgical co-management
* Refractive surgery consultations (LASIK/PRK)
* Unexplained blurred vision or visual disturbance
Retina / Vision Concerns
* Gradual or unexplained vision changes (non-emergent)
* Retinal evaluation as indicated
Additional Services
* DMV vision certification forms
* Aesthetic eye-related services
How to Refer a Patient
1. Submit referral via online form, fax, or phone
2. Include relevant clinical notes and imaging when available
3. Referrals are reviewed within 24–48 hours
4. Our team contacts the patient directly for scheduling
5. Consultation notes are sent back to the referring provider
Submit a Referral
Online Referral (Preferred):
[Insert embedded referral form or link here]
Required fields:
* Referring provider name and practice
* Office phone / fax / email
* Patient name and date of birth
* Patient contact information
* Insurance information (optional)
* Reason for referral
* Diagnosis or suspected condition
* Urgency level (Routine / Urgent / Time-sensitive)
* Attachments (clinical notes, imaging, prior records)
* Additional information (optional)
Alternative Referral Methods
* Fax: 407-964-8658
* Phone: 407-964-8665
Referring Provider Communication
* Referral acknowledgment within 24–48 hours
* Consultation notes returned after evaluation
* Direct physician-to-physician communication available
* Dedicated support for referral coordination
Emergencies
For urgent or emergent eye conditions, call 407-964-8665 immediately.
Conditions include:
* Chemical eye injuries or burns
* Eye trauma or penetrating injury
* Sudden vision loss or significant vision changes
* Sudden onset double vision
* Suspected retinal detachment symptoms
* Corneal emergencies requiring bandage contact lens
* Amniotic membrane placement needs
Referral Support
We are committed to timely access, clear clinical communication, and continuity of care for all referred patients.
Call to Action
Submit a referral today:
[Submit Referral] | Call 407-964-8665