For referring doctors

Refer a Patient

Thank you for trusting us with your patient. We take the case, treat it, and return them to your care.

Referral form

Download the PDF

One page: your details, the patient’s details, the reason for referral, and clinical notes.

Download referral form (PDF)
  1. Complete the form.
  2. Return it through your own secure channel — secure fax, EHR secure messaging, or direct secure email.
  3. Call us at (469) 447-9873 for the current secure fax number or secure-messaging address.

This website does not collect or receive patient information. Please don’t send patient details through it, or to an unsecured email address.

When to refer

Cases that belong with a dry eye doctor.

A dedicated dry eye practice built to take the ocular-surface cases general practices don’t treat:

  • Refractory meibomian gland dysfunction (MGD)
  • Demodex & chronic blepharitis
  • Post-surgical dry eye (LASIK / cataract)
  • Patients who have failed artificial tears & drops
  • Contact lens dropouts from ocular surface disease

Co-management, always. We treat the case and return the patient to you, and your relationship with your patient is never disrupted.

Provider resources & direct contact