Retina Consultants Referring Patients Honolulu Hawaii

All of our locations, Honolulu, Aiea, Maui, and Kauai are equipped to take care of your patients that you refer to our practice.  Please feel free to utilize the forms below or call our office directly.

The following forms are can be printed from the website and used when referring patients to our clinic.  If you should require hard copies of these forms, please contact our office (808) 487-8928 and from the neighbor islands (877) VITRET1 (848-7381).

Completed forms can be faxed to our main location (808) 487-3699.

Referral Form – Front

Referral Form – Back