Refer a Patient to South Atlantic Retina

South Atlantic Retina accepts referrals from optometrists, ophthalmologists, primary care physicians, and endocrinologists throughout Jacksonville and Northeast Florida. Choose the form that matches your practice below.

Eye Care Providers

For optometrists and ophthalmologists referring patients for medical or surgical retina care.

South Atlantic Retina eye care provider referral form
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Primary Care & Endocrinology

For PCPs and endocrinologists ordering diabetic retinal imaging, wellness screening, or consultation.

South Atlantic Retina primary care referral and order form
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Urgent case? Call (904) 666-5050 for same-day coordination.