Refer Eye Patient

Referring Patients Made Easy

Welcome to our Referral Provider Portal. On behalf of all the specialists at The Eye Institute of West Florida, we would like to thank you for entrusting your patients with us. Below is a list of ways you can conveniently send your patient referrals. For the best experience, use the HIPAA-compliant web form below.

1. Online: Fill out the web referral form below and upload exam notes
2. Phone: Call our Provider Referral Team at (727) 499-5268
3. Fax: Download our fillable referral form and fax to (727) 499-5277 along with exam notes
4. Email: Download our fillable referral form and email to referrals@eyespecialist.com along with exam notes

Should you need any help along the way, please reach out to our Provider Referral Team at (727) 499-5268. Our team is specifically trained to facilitate scheduling your patients in a timely manner.

HIPAA Compliant Web Form