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Referral Forms

Berks Eye Physicians & Surgeons, Ltd.

We are happy to reserve appointments for optometrist and medical doctor referred patients to ensure these patients are seen as quickly as possible.  The doctors of Berks Eye Physicians and Surgeons are also happy to communicate with referring providers to make sure you know our findings and treatment plan for your patient.  To easily refer patients, please fax the appropriate form to 610-376-6968 or you, your staff or the patient may call our office at 610-372-0712.

Ophthalmology from Physician forms (.PDF)
(.PDF files can be downloaded, printed, filled out and brought to your appointment.)

Ophthalmology from Optometrist forms (.PDF)
(.PDF files can be downloaded, printed, filled out and brought to your appointment.)

ADDRESS:
1802 Paper Mill Road Wyomissing, PA 19610
PHONE:
FAX:
(610) 376-6968
OFFICE HOURS
Monday
8:00 am - 7:00 pm
Tuesday
8:00 am - 5:00 pm
Wednesday
8:00 am - 5:00 pm
Thursday
8:00 am - 7:00 pm
Friday
8:00 am - 5:00 pm