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Practitioner Referral

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Practitioner Referral

Practitioner Referral

  • * Dr. Schwartz of EyeSymmetry Vision Center is a Diplomate in Cornea, Contact Lenses, and Refractive Technology of the American Academy of Optometry. Certified in fitting a variety of advanced contact lenses, including the EyePrintPro lens, Dr. Schwartz can co-manage your patient for a contact lens evaluation. After the assessment and/or contact lens fitting, Dr. Schwartz will share with you your patient's information in this co-management process. By referring a patient to Dr. Schwartz, you will still retain your patient as their primary eye doctor. Upon completing this form, you will be contacted by our practice. This form is a secure, private form.

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