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Accepting new patients(317) 555-0106

How it runs

From your call to our report

  1. 01

    Step 1: You call or send the form

    Say what you are asking: a second look, a test, shared care or a visit that should not wait. Chart notes and images can follow by your usual route.

  2. 02

    Step 2: We confirm and book

    The referral coordinator confirms the referral, picks the nearest office and calls the patient. Urgent referrals go to a doctor first.

  3. 03

    Step 3: The patient is seen

    The visit follows the usual order: history, vision, pressure, dilated exam and imaging. Plan on about an hour.

  4. 04

    Step 4: The report reaches you

    A written report goes to your office after the first visit, with what we found, what we did and when we see the patient next.

Which referral, how soon

What happens to each kind of referral

These are the usual times. A doctor reads every urgent referral the day it arrives.

What happens to each kind of referral
The reason for referralHow soon we bookWho sees the patientWhat you get back
Raised eye pressure or a glaucoma suspectHow soon we bookUsually within about two weeksWho sees the patientAn optometrist, with a visual field test and nerve imagesWhat you get backA report with pressure, fields and images
Diabetic eye examHow soon we bookUsually within about three weeksWho sees the patientAn optometrist, with a dilated exam and retinal imagesWhat you get backThe result, in time for the next diabetes visit
Macular changes on a screeningHow soon we bookUsually within about two weeksWho sees the patientAn optometrist, with retinal imagesWhat you get backThe images and a plan, and the hospital's eye service if it is needed
Red eye or pain that has not settledHow soon we bookCall first, and a doctor decides how soonWho sees the patientThe doctor on call at the nearest officeWhat you get backA call or a report after the visit
Cataract: before and after the operationHow soon we bookBooked around the hospital's scheduleWho sees the patientAn optometrist, for the visits before and afterWhat you get backMeasurements, then the follow-up report

What to send with a referral

  • From your office

    • The reason for the referral, in a line

    • Medicines and eye drops the patient uses

    • Recent images or visual fields, if you have them

    • A number for urgent questions

  • From the patient

    • Glasses and contact lenses

    • Vision and medical insurance cards

    • The referral, if the patient was given one

    • A driver, if the eyes will be dilated

What we send back

  • After the first visit

    What we found, what we did, what we ask of your office and the date of the next visit.

  • After a change in the plan

    A short note when a drop is started or stopped, when a test changes or when the hospital's eye service joins.

  • Shared-care letters

    For patients we follow together, a letter at the end of each season of visits.

  • Images and fields, on request

    Retinal images, nerve scans and visual fields, sent by the route your office uses.

Who answers the referral line

  • Sheri Forsythe

    Referral coordinator, Fishers

    Answers the referral line and books the visit.

  • Donna Bancroft

    Medical director, Fishers

    • Doctor of Optometry · IN License no. 000000Verify

    Leads glaucoma care and the shared-care plans with the hospital.

Referral form

Send a referral request

Leave your practice and a number, and the referral coordinator calls you to take the details.

Referral line(317) 555-0109

Please don't include medical details in this message. For anything urgent, call us.

Questions from referring offices

Do you take referrals from any doctor?

Yes. Primary care, endocrinology, pediatrics and other eye doctors all send patients, and the process is the same for each.

Can the patient choose the office?

Yes. We book the one the patient prefers, and the chart is the same at all three.

Who sees the patient if the hospital needs to be involved?

We refer the patient to the hospital's eye service, send the images ahead and keep seeing the patient for the visits we share.

How do you want to hear about an urgent case?

Call the referral line, Monday to Friday. For sudden vision loss or an eye injury outside office hours, the patient should go to the nearest emergency room.

Refer a patient

Call the referral line, Monday to Friday, or send the referral form.