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Patient Referral 

Thank you for choosing Michigan Retina Center! We look forward to our partnership in care. To refer a patient, please choose from one of the options below:

          1. Call us at (313) 441-2227
                           OR
          2. Fill out our secure online referral form below.
                           OR
          3. Download and fill out the PDF version of the form and fax this to us at
             (313) 441-2241.




We process referrals during our business hours Monday-Friday 8:00am-4:30pm. For emergent referrals, please call our office at (313) 441-2227.

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Secure Online Referral Form

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New Patient Paperwork

Prior to their visit, patients can visit our secure online new patient form page to fill out their new patient paperwork or can download a pdf version of these forms. This will help expedite their visit.

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