Atlantis Eyecare now has a dedicated physician relations team to manage all incoming referrals and referring relationship requests. We are entirely committed to ensuring your patient receives excellent care, and you receive the highest level of attention and updates about your patient. Along with special access to our dedicated team to help serve you and your patients, you will have direct access to our ophthalmologists as well.
Atlantis Eyecare doctors offer a range of services, including general ophthalmology, pediatric ophthalmology, cataracts, glaucoma, refractive surgery, oculoplastics, optometry, glasses, and more.
Below is a Referral Form through which you can submit referrals. It is HIPAA secured, and you can upload any previous notes if needed.
If you should have any questions, please contact our Physician Relations department at (714) 956-4300 or email referrals@atlantiseyecare.com.
We greatly appreciate your referrals.
Below are links to download our new patient forms in both english and spanish. If you would like to save some time you can click on the link to print them out and bring them to us on your visit. We look forward to seeing you soon.
| Patient Forms | ||
|---|---|---|
| New Patient Packet | English | Spanish |
| Welcome Form | English | Spanish |
| Locations Map | English | Spanish |
| Medical Information Form | English | Spanish |
| Patient Registration Form | English | Spanish |
| Government Form | English | Spanish |
| HIPAA | English | Spanish |
| Authorization for Use and Disclosure | English | Spanish |
| Lifestyle Questionnaire Form | English | Spanish |
