Refer a Patient
How to Make a Referral
Eye Care Physician:
- Complete the online referral form here.
- If preferred, download, print and complete the referral form and fax to 404-875-4568.
- Please include a copy of the patient’s latest eye report (from within the last 12 months), if possible.
- CVI will contact your patient to schedule an appointment.
Community Service Provider:
- Complete the online referral form here.
- If preferred, download, print and complete the referral form and fax to 404-875-4568.
- Please include the Authorization to Release Information Form, signed by your client (if possible).
- CVI will contact your client to schedule an appointment.
Thank you for supporting CVI via your referrals! Please contact CVI at 404-875-9011 with any questions.