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UEC REFERRAL SERVICE For appointments: Call (888) 327-5533 or Fax (212) 938-4020 Date of Referral Patient Name DOB Patient Address City State Zip Patient Phone # The Patient Care Facility of the SUN/College
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How to fill out suny optometry referral form

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How to fill out suny optometry referral:

01
Obtain the necessary referral form from your primary care physician or optometrist.
02
Fill in your personal information, including your name, date of birth, and contact information.
03
Provide details about your eye concerns or the reason for the referral, as requested on the form.
04
If applicable, indicate any specific tests or procedures you would like to have done at SUNY Optometry.
05
Sign and date the referral form, and make a copy for your records.
06
Submit the completed referral form to the SUNY Optometry office as instructed.

Who needs SUNY Optometry referral:

01
Individuals who require specialized eye care beyond the scope of regular optometry services.
02
Individuals who have been recommended by their primary care physician or optometrist to seek care at SUNY Optometry for a specific eye condition or concern.
03
Individuals who desire access to the advanced technology and expertise available at SUNY Optometry for accurate diagnosis and treatment of eye conditions.
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SUNY Optometry referral is a process or form used to refer patients to the State University of New York College of Optometry for specialized eye care services.
Healthcare providers such as primary care physicians or optometrists are typically required to file a SUNY optometry referral for patients who need specialized eye care.
To fill out a SUNY optometry referral, providers should complete the referral form with patient information, reason for referral, and any relevant medical history or supporting documentation.
The purpose of the SUNY optometry referral is to facilitate access to specialized optometric care for patients, ensuring they receive appropriate assessments and treatment.
The information that must be reported includes patient demographics, the referring provider's information, the reason for referral, and any pertinent medical history.
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