Call 09 520 9689 ' E Book an appointment

Patient Referral

Complete the form below for a fast & efficient referral which we can follow up on immediately.

Patient name:
Address:
Date of Birth:
Home phone:
Work phone:
Mobile phone:
Referred to:
- First Available Booking
- Shuan Dai
- Penny McAllum
- Mark Donaldson
- Andrew Riley
Please review my patient for assessment of:
- Refractive Cataract
- Glaucoma
- Retina
- Cornea
- Ocular Surface
- Squint/Paeds
- Uveitis
- Lids/Lacrimal
- Pterygium
- Neuro-ophth
- Other
Additional info:
Vision (R) 6/ (L) 6/
Appointment made for patient?
- Yes, Date:
- No, Eye Doctors to contact patient.
Referrer Name:
Referrer Email:
Date:
Referrer details:

For personalised eye care, get in touch with one of our specialist surgeons

Eye Doctors are here to help during COVID-19

We are following the government's advice and discontinuing non-essential face to face appointments.
Dr Joel Yap now working at Eye Doctors

Eye Doctors welcome Dr Joel Yap
Dr McAllum Volunteers in Niue

Dr McAllum recently returned from her 7th Eye Team volunteer visit to Niue Island.  This ...