Ophthalmology Referral

We sincerely appreciate the opportunity to contribute to the evaluation and treatment of your patients. Recognizing that the quality of care we provide reflects on both our practice and yours, we are dedicated to achieving the best possible outcomes for each patient while upholding an atmosphere of compassion, respect, and professionalism.

We value strong collaboration and open communication with our referring providers. Your feedback, questions, and suggestions are always welcome as we continually strive to enhance our services for you and your patients.

For your convenience, please find below a link to our referral form, which can be printed or submitted via fax. 

WEC Ophthalmology Referral Form

Post Operative Co-Management Exam Form

Ophthalmologist Bio Card 

Our Location

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Contact Information

Phone: (920) 806-3005
Fax: 920-806-3004

Menasha

Oshkosh

Our Location

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