For Referring Doctors

The physicians and staff of Retina Northwest appreciate the trust you place in us when you refer your patient to our practice.

We look forward to working in collaboration with you to provide exceptional and compassionate care to our shared patients.

To refer a patient for care

Simply download our New Patient Appointment form and fax the completed document(s) to our scheduling department at 1-866-843-7990. We will then contact your patient promptly, or your office if requested, to finalize the patient's appointment.

Our scheduling department is available Monday-Friday, 8am to 5pm.

In addition to the patient's demographics, our staff will request the following information:
  • When you would like the patient to be seen;
  • If you prefer the patient to be seen by a specific RNW physician;
  • The patient's preferred appointment location;
  • The patient's complete current insurance information, including a copy of all cards;
  • Diagnosis; and
  • Chart notes, in certain circumstances.

To refer a patient for diagnostic testing

Complete and fax the following Diagnostic Orders and Scheduling Worksheet form along with your orders, diagnosis, insurance information and applicable chart notes to our Main Scheduling Department at 1-866-843-7990. 
Physicians may refer their patients to Retina Northwest for the following diagnostic procedures, with interpretation:
  • Color Fundus Photography
  • Fluorescein Angiography **
  • Indocyanine Green (ICG) Angiography **
  • Spectral-domain OCT
  • Retinal Ultrasound
** Interpretation is optional on angiography for MDs, and is provided upon request.

For maps, directions and contact information, please direct all newly-referred patients to the For Patients section of this site.

These pages also provide details information on what our patients should expect at their appointment, as well as the most recent information available on the conditions and testing for which you are referring them to us.