Refer an Adult Patient
2. Fill
Fill out both the Eye Exam Report and the Adult Services Consent Form to release information.
3. Fax
Please fax the completed Eye Exam Report & Consent Form to our Intake Specialist at (513) 221-2995.
Refer a Child Patient
2. Fill
Fill out both the Early Childhood Exam Report and Child Consent Form to release information.
3. Fax
Please fax the completed Eye Exam Report & Consent Form to our Intake Specialist at (513) 221-2995.
Contact Us to Learn More
If you have questions about the patient referral process, please fill out the form below with your contact information and our Intake Specialist will be in touch.
CABVI respects your privacy. For more information, visit our Privacy Policy page.
Have Questions?
If you would like to speak to our Intake Specialist by phone or email, please reach out at:
