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 (954) 776-6880.

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!