Information for Referring Providers

We provide timely evaluations, clear communication, and comprehensive retinal care for your patients.

For Urgent Referrals

  • Call the office line 408-540-3559
  • Fax any relevant notes and imaging to 408-418-2803

For Routine Referrals

  1. Download and fill out the referral form below.
  2. Submit the completed form by fax to 408-418-2803 or click the link to upload it securely

Cai Retina Patient Referral FormDownload

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