Medical professionals, such as the doctor in this photo, can make Eye Care Professional Referrals to SDCB

Eye Care Professional Referrals

For Medical and other Health Care Professionals

When medical approaches and prescriptive eyewear can longer assist your patients to reach their vision goals, SDCB is here to provide the much needed services to help them to become as independent as possible.

If you are a medical professional looking for additional options for your patients, please contact us.


How to contact SDCB to make a referral

You have four options:
PLEASE NOTE: FOR NOW IF REFERRING TO THE LOW VISION CLINIC DOWNLOAD THE REFERRAL FORM BELOW #3. FOR ALL OTHER REFERRALS PLEASE FILL OUT AND SUBMIT THE INTERACTIVE  FORM BELOW.
  1. Complete the form below. Be sure to print a copy for your patient.
  2. Contact us in San Diego (1.619.583.1542) or in Vista (1.760.758.5956)
  3. Contact our Low Vision Clinic (1.619.255.9741) Select Here to Submit Low Vision Services Referral Form 
  4. Contact us at referral@sdcb.org

Please enter the information for the doctor or
health care professional making the referral 
Salutation *
First Name *
Middle Name
Last Name *
Title
Company or Profession
Fax
Phone *
Address *
City *
State *
Zip *


Please enter information for the patient/client being referred
Also, please check if it is appropriate to contact the person
Low Vision Clinic Referral
Help
Low Vision Clinic Referral
Other Services
Help
Other services referral
OK for SDCB to directly contact?
Patient's First Name *
Patient's Middle Name
Patient's Last Name *
Phone Number *
E-mail Address

Cause of Vision Loss

Please provide the following if possible.
Major Cause of Vision Loss
OD Acuity
OS Acuity
Other Information

Thank you for the referral.
Please also fax the most recent examination note
and visual field report, if available, to 619.286.3038

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