Refer an Individual
Why making a referral is important
 

“Without vision rehabilitation, blind and vision impaired adults are at higher risk for depression, suicide, cancer, heart disease and stroke.”
- The Center for Disease Control

Your role in making a referral could not only be life changing, but life saving for someone facing vision loss.


How to contact SDCB to make a referral

You have a number of options:

  1. Complete the form below
  2. Contact us in San Diego (1.619.583.1542) or in Vista (1.760.758.5956)
  3. Call the Low Vision Clinic (1.619.255.9741)
  4. Contact us at referral@sdcb.org


 


Please enter information
for the person being referred

 
Salutation *    
First Name *    
Middle Name      
Last Name *    
Email *    
Phone      
Address *    
City *    
State *    
Zip *    


Please enter information
for the person doing the referral

 
First Name *    
Last Name *    
Email *    
Phone      
Relationship      
 

* Indicates a required field