SUBMIT PATIENT REFERRAL
THANK YOU FOR TRUSTING ReVISION
Delivering the highest quality of care is our promise to you and your patients.
Primary Care Physicians and Optometrists play a significant role in the visual health of their patients. Early diagnosis and treatment of conditions affecting the health of the eye and quality of vision is vital in slowing, or even stopping the progression of disease and vision loss. The physicians at ReVision are here as a resource for your practice and patients. We look forward to partnering to provide the highest quality of care when LASIK, cataract or corneal treatment plans are appropriate.
Complete the PATIENT REFERRAL FORM to the left to refer your patient to ReVision for Ophthalmologic consultation. The patient's insurance cards and most recent exam may also be submitted to ReVision via fax at 866-207-3523. Our team will contact your patient to schedule a convenient date and time for their appointment. We will stay in touch regarding the plan of care your patient has chosen.
LOCATIONS
ReVision LASIK & Cataract Surgery Columbus Office – Polaris
1080 Polaris Parkway
Columbus, OH 43240
Monday - Thursday 8AM - 5PM
Friday 8AM - 4PM
ReVision LASIK & Cataract Surgery Mansfield Office
240 West Cook Road
Mansfield, OH 44907
Monday - Thursday 8AM - 5PM
Friday 8AM - 4PM