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Refer a Patient

Thank you for trusting RGF.

We love what we do, and look forward to providing you and your patients with exceptional care and support. If this is not a retina related emergency, please fill out the form below.

For any retina related emergencies, please call us at:

Want to refer a patient online?

Use the form below to send your information, and the RGF team will respond promptly.

Refer Patient Online

Need a patient referral form?

Download the Retina Group of Florida patient referral form as a PDF here.

Download Referral Form

We look forward to hearing from you!

Important Update: Good Days Foundation

Due to a lack of funding, the Good Days program can no longer assist Medicare and Medicare Advantage patients with coinsurance costs. Patients will now be responsible for their coinsurance at the time of their visit. As Medicare providers, we are legally required to collect these payments.
See How We Can Help

Important Update: Good Days Foundation

Due to a lack of funding, the Good Days program can no longer assist Medicare and Medicare Advantage patients with coinsurance costs.
See How We Can Help