Thank you for referring your patients to South Bay Retina.
South Bay Retina respects the relationships you have with your patients and is committed to open communication and prompt follow-up after your patient is seen. We recognize that your patient looks to you as his or her primary provider and we expect to entrust your patient back to your ongoing care after being seen at South Bay Retina.
For providers using an EHR with a HIPPA-compliant Email, please email the patient’s CCD to our HIPPA-complaint email: knarain@southbayretina.emadirect.md
Patients can also be referred to our clinic using the form below. Completed forms can be faxed to 408-294-3214. We will reach out to the patient to schedule their initial appointment!