Referring Veterinarian Form

If you are a veterinarian referring a case to use, please complete the form below. Call us at (646) 838-3915 if you have any questions.

REFERRING VETERINARIAN INFORMATION

OWNER INFORMATION

PET INFORMATION

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Retina

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Cornea

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Intraocular

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Lens

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Orbin

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Eyelid

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now booking Appointments

Conveniently Located in Midtown Manhattan.

Call us today to book an appointment. Appointments will be starting in April 2021.