Please fill out the referral form below to refer your patient/s

or you may download a Request Form and email to

If your patient is required to see one of our ophthalmologists urgently (within 1-2 days) please call the clinic directly on 9417 1011


For after hours care please direct them to the Royal Victorian Eye and Ear hospital (RVEEH) 


Patient's Details

Reason for Referral / Relevant History 

Referring Practitioner

Our Services

Our Doctors

Other Links

Suite 8.1 Top Floor level 8

124 Grey street East Melbourne 3002

Tel. (03) 9417 1011

Fax. (03) 9419 9649

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