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Refer a Patient

Introducing our new shared HIPAA-secure referral dashboard powered by Phreesia. Your team can easily submit new and track past referrals, attach important patient documents, receive live status updates, and utilize a 1:1 chat feature to quickly communicate with one of our scheduling representatives, all without ever faxing or picking up the phone!

Image by Peter Pryharski

Online Form

Fill out our Online referral form, submitting an online appointment request instantly.

Fax

If you prefer to fax a referral or records release, please download our forms below. Please fill out all fields and send it along with preferred patients documents including: OCT, exam notes, imaging, and patient insurance information.

Fax: 303-578-7823

Phone: 303-900-8507

Denver Office

 

5150 East Yale Circle

Suite 301

Denver, CO 80222

Boulder Office

 

1440 28th Street

Suite 3

Boulder, CO 80303

Longmont Office

 

1330 Vivian Street

Longmont, CO 80501

© 2022 Rocky Mountain Retina Associates. 

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