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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

How to Fill Out SUNY Optometry Referral:
01
Start by obtaining a copy of the SUNY Optometry Referral form. This form can typically be found on the SUNY Optometry website or by contacting their office directly.
02
Begin filling out the form by providing your personal information, including your full name, address, phone number, and email address. This information is crucial for proper identification and communication purposes.
03
The next step is to provide information about your primary care optometrist or ophthalmologist. This includes their name, address, phone number, and any other relevant contact information. This section is important as it helps SUNY Optometry to establish a connection with your regular eye care provider.
04
In the referral section, indicate the reason for the referral. Specify whether your referral is for a general eye exam, specialty services, or a specific condition that needs further evaluation or treatment. Providing detailed information will help SUNY Optometry understand your specific needs and ensure appropriate follow-up.
05
If applicable, include any additional notes or concerns you may have. This could include specific symptoms, medical history, or any other relevant information that you believe would be important for SUNY Optometry to know. The more information you provide, the better they can address your specific needs.
Who Needs SUNY Optometry Referral:
01
Patients seeking specialized eye care services or who require a comprehensive eye examination beyond the services provided by their primary eye care provider may need a SUNY Optometry referral. SUNY Optometry offers advanced diagnostic testing, treatment options, and expertise in various eye conditions and diseases.
02
Individuals with complex eye conditions or specialized vision needs, such as those with diabetes, glaucoma, cataracts, macular degeneration, or other eye-related diseases may benefit from a SUNY Optometry referral. The experienced specialists at SUNY Optometry can provide specialized care and treatment plans tailored to these specific conditions.
03
Patients desiring a second opinion or seeking the expertise of a renowned eye care institution may also require a SUNY Optometry referral. SUNY Optometry is a leading institution in the field of optometry, and their specialists can provide valuable insights and recommendations for patients seeking additional guidance or alternate treatment options.
Note: It is always advisable to consult with your primary eye care provider or general physician to determine if a referral to SUNY Optometry is necessary in your specific case. They can assess your eye health, discuss your concerns, and guide you on the appropriate steps to take for a referral if needed.
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What is suny optometry referral?
Suny optometry referral is a document used for referring patients to the State University of New York College of Optometry for eye care services.
Who is required to file suny optometry referral?
Healthcare providers such as optometrists, ophthalmologists, and general practitioners are required to file suny optometry referrals.
How to fill out suny optometry referral?
Suny optometry referral can be filled out by providing the patient's information, reason for referral, and any relevant medical history.
What is the purpose of suny optometry referral?
The purpose of suny optometry referral is to facilitate the transfer of patients to specialized eye care services at the State University of New York College of Optometry.
What information must be reported on suny optometry referral?
The suny optometry referral must include the patient's name, contact information, reason for referral, referring provider's information, and any relevant medical history.
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