For Providers

At Woolfson Eye Institute, we take great pride in connecting with well-respected referring physicians in Georgia, North Carolina, Tennessee, and Virginia. When you refer one of your patients to Woolfson Eye Institute, we know you’re trusting us to make sure they receive the best care available. Our experienced team of professionals are committed to partnering with patients and the doctors that referred them. We look forward to working with you and are happy to walk through any questions you may have regarding this process.

Woolfson Eye Institute counts it an honor to serve both patients and physicians and will provide the highest level of care available.

If this is an Emergency Referral please contact our office at 770-255-1255.

Submit a Referral

Patient Information

First Name

Last Name

Mobile Phone

Insurance Information

Insurance Carrier

Referring Doctor

Referring Doctor's First Name

Referring Doctor's Last Name

Practice Name

Practice Email

Practice Phone

Reason for Referral

Specify Reason for Referral

Which location is most convenient for the patient?

Referring to specific Doctor?

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Doctor's Name

Contact Information