Doctor Referral Form

Patient Name * Patient Phone * Referring Doctor * Date *

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I am sending this patient to you for evaluation on the following conditions: *

I would like to receive correspondence regarding the care of this patient via: Referring Doctor Email * Referring Doctor Phone * Referring Doctor Fax Medical Insurance Provider Text (Cell Phone)

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Had Lasik recently and Dr Weingarten and his staff were wonderful before and after! They answered all my questions and made it a good experience for me! Highly recommend Rochester Eye Care!

Capable and experienced, the quality of life improvement after my Lasik eye surgery is priceless. The staff is friendly, helpful, and organized, and they have a good selection of glasses and good prices.

Dr. Weingarten performed LASIK for one eye. Although I went into it pretty nervous, the procedure itself was pretty straightforward and painless. My recovery was very quick. By the next morning my eye felt almost back to normal. Dr. Weingarten did a great job and I would refer others to him. Very happy with my monovision!

I had LASIK done here. The entire staff was great before, during, and after the procedure. I recommend Rochester Eye Care if you're considering LASIK.