COVID-19 INFO - PATIENTS: All non-urgent patient appointments and elective surgeries will be rescheduled in > 4 weeks. If you are experiencing any cold, flu, or feverish symptoms prior to your scheduled appointment, call us at (303) 261-1600 to reschedule.
REVIEW our updated check-in procedures, policies, precautionary measures, and advisory warnings.

Patient Referral

Use the online form below to quickly and easily refer a patient to Colorado Retina Associates, or download and fill out the PDF form accessible at the bottom of the page.

For urgent/ emergency referrals and patients that need to be seen by a CRA physician within 72 hours, do not fill out this form, instead please call our triage line ASAP at (303) 261-1600 x1.

If you are unable to fill out the above fields, download the Patient Referral Form, and email it along with the required patient files (exam notes, OCT/FA, demographics, copy of insurance) to OR fax to (303) 261-1601

Request An Appointment

Choose One:

Preferred method of contact:

May we leave a message?

Were you referred to Colorado Retina Associates?

*Please allow up to 2 business days for one of our team members to process your request and get back to you.

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.