Thank you for your interest in referring your patient to us. We take a collaborative approach to eye health management. Please complete the following steps to submit your referral:

  • Complete our HIPAA-compliant online Clinical Provider Referral Form and include the reason for the referral request. Please be as explicit as possible. If you prefer to complete the referral form by hand and fax it back to us, click here.
  • Include patient demographic information (e.g., contact information and insurance provider).
  • Include applicable clinical notes (such as recent eye exams, diagnostic codes, referring provider examinations, diagnoses, etc.). Exam records are needed prior to patient scheduling for specialty appointments.
  • Include the referring provider’s office phone and fax numbers.
  • Specify when you would like the patient to be seen.
  • To expedite the referral process, call to register the patient or have the patient call us.
  • Questions? Please give us a call or email us.

Commonwealth
Primary eye care, contact lenses, specialty contact lenses, and dry eye services.
Phone: (617) 262-2020
Fax: (617) 236-6323
Email: [email protected]

Commonwealth Specialty Clinic
Vision therapy, myopia control, pediatrics, and low vision services.
Phone: (617) 396-8531
Fax:  (617) 396-8517
Email: [email protected]

Roslindale
Primary eye care, pediatrics, and contact lens services.
Phone: (617) 323-7300
Fax: (617) 553-2121
Email: [email protected]