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Physician Access Intake Form (Providers + Staff Only)

Referring a patient has never been easier. Simply fill out our refer a patient form and one of our referral coordinators will immediately follow up with you. Having trouble? No problem. Just call our Physician Access Line at 617-636-7255.

This form should only be filled out by physicians or their staff.

This site is not designed to and does not provide medical advice, professional diagnosis, opinion, treatment or services to you or to any other individual. See more information.

In the case of a medical emergency, please call 911 for immediate assistance.


Ophthalmology (New England Eye Center)
260 Tremont Street
Biewend Building, 9-11th Floor
Boston, MA 02116

  • Ph: 617-636-4600
  • Fx: 617-636-4866

Please see below for detailed location and contact information for our major services.

Center for Aesthetic Eyelid and Facial Surgery
Biewend Building, 11th Floor

Comprehensive Ophthalmology Service
Biewend Building, 11th Floor

Cornea
Biewend Building, 9th Floor

Glaucoma
Biewend Building, 10th Floor 

Laser Vision Correction Center
Biewend Building, 11th Floor
  • Ph: 888-51-LASIK
  • Fx: 617-636-9267

Neuro-Opthalmology
Biewend Building, 11th Floor

New England Eye Wear/Optical Shop
Biewend Building, 11th Floor

  • Ph: 617-338-9595
Pediatric Ophthalmology
Floating Hospital for Children, 6th Floor
  • Ph: 617-636-6769
  • Fx: 617-636-3305

Refractive Surgery
Biewend Building, 11th Floor

Retina
Biewend Building, 9th Floor

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