SUBMIT PATIENT REFERRAL

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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.

James Schumer, M.D.
Thomas_Litzinger_Doc
Mark Nolan, O.D.
Annie Mueller, O.D.

LOCATIONS

ReVision LASIK & Cataract Surgery Columbus Office – Polaris

1080 Polaris Parkway
Columbus, OH 43240

(614) 781-0499

Monday - Thursday 8AM - 5PM
Friday 8AM - 4PM

ReVision LASIK & Cataract Surgery Mansfield Office

240 West Cook Road
Mansfield, OH 44907

(419) 525-3737

Monday - Thursday 8AM - 5PM
Friday 8AM - 4PM

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