Request an Appointment

Central Scheduling

Are you a healthcare provider? This form allows you to refer patients to Texas Eye and Cataract - Central Scheduling. Please fill out your practice's information in step one and your patient's information in step two. You will receive a confirmation email once we receive the referral.

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1. Please fill in the referring provider's information

2. Please fill out the patient's information

3. Where are you sending this referral?

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