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Referral

Refer a Patient

Are you a Physician or Optometrist looking to refer a patient to our clinic for eye and vision treatment? Please complete this form and we’ll be in touch.

Patient Information:

Doctor Information:

Reason for Referral:

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Are you a physician?

Refer a patient via our online form.

Refer a Patient

Are you a patient?

Speak to your doctor about getting a referral to our clinic. If you have questions for our team, reach out today:

Contact us:

709-576-7676

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427 Newfoundland Drive
St. John’s, NL A1A 4A5

709-576-7676

Looking for information on elective procedures like
LASIK or RLE?

Visit lenslasik.com for more information.