Submit a Referral
To our Referring Providers:
If this is an emergency referral, please contact our office at 623-343-2460
To submit a referral, you have two options:
- Scroll down and complete the webform below, then click “Submit” when completed. Please also fax any relevant visit notes to 480-419-5472. OR
- OR Download and complete the referral PDF form, then fax back to 480-419-5472.
Horizon Eye Specialists & LASIK Center proudly partners with eye and medical professionals throughout Arizona.
For immediate assistance, please call 623-343-2460.
For questions about referring/co-managing, or for coordinating support, please email mruiz@horizonlaservision.com or call 480-419-5437.