For Physicians

Information for Referring Doctors

Collaboration is key at New England Retina Associates as we continue to partner with numerous referring physicians in and around the Fairfield and New Haven Counties.

Our goal is to provide the same exceptional care you offer to your patients. To schedule a consultation for your patient, simply contact any of our three offices in Fairfield or the one in New Haven. We do our best to offer prompt appointments and accommodate emergencies.

Download Vitreo-Retinal Consult Order Form

Contact a Location Directly

Hamden

203-267-0135

Trumbull

203-293-2452

Westport

203-635-0512

Old Greenwich

203-571-3479

Vitreo-Retinal Consult Order Form

Primary Eye to be Studied:

Patient's Name:

Exam Date:

Referring Physician:

Phone Number: *

Email: *

Doctor's Comments / Other Instructions / Present History / Notes Attached:

Date of Appointment:

Time:

Location:

2200 Whitney Avenue, Ste 300 — Hamden, CT 06518

162 Kings Highway North — Westport, CT 06880

999 Silver Lane, Ste 2B — Trumbull, CT 06611

1445 East Putnam Avenue — Old Greenwich, CT 06870

Instructions to Patient:

Your eyes will be dilated so we advise you to have a driver. You will be in our office a minimum of two hours. If your insurance requires a referral, please be sure to obtain one prior to your visit.

PLEASE DO NOT COMMUNICATE MEDICAL ISSUES VIA THIS CONTACT FORM.

CALL ONE OF OUR OFFICES TO SPEAK WITH A REPRESENTATIVE.

ANY AFTER HOURS MEDICAL ISSUES WILL BE ADDRESSED BY OUR ON CALL PHYSICIAN.

We can only correspond about specific, detailed care with our current patients. Communication via the internet or through the mail may not be secure and we cannot guarantee its confidentiality. We will do our best to reply in a timely fashion, but please do not rely on these forms of communication to relay urgent information.