Refer a Patient to NY Partners Ophthalmology

Expert eye care in Sunset Park, Brooklyn | Flushing and Long Island City, Queens

Fast, Simple Referrals for Your Patients

Referring a patient to NY Partners Ophthalmology takes just a few seconds. Fill out the form below, and our care coordination team will reach out to schedule the appointment and keep you updated on your patient’s care.

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Referring Provider First Name*

Referring Provider Last Name*

Referring Provider Email Address*

Referring Provider Phone number*

Patient First Name*

Patient Last Name*

Patient Date of Birth*

Patient Phone number*

patient Sex*

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Patient Insurance Information*

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Comments / Reason for Referral