Referral & Medical Release Forms

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Referral & Medical Release Forms

Referral & Medical Release Forms

Please download our referral form. If you have questions, feel free to contact any of our office locations

CRC Referral Form
Medical Release Patient Form
Formulario de Liberación Médica del Paciente

Location Address Handouts

Bakersfield
Lompoc
Oxnard
Palmdale
Paso Robles
San Luis Obispo
Santa Barbara
Santa Maria
Simi Valley
Valencia
Visalia
Westlake Village

CRC Offering New Treatment for Dry AMD

We are now offering Valeda® photobiomodulation therapy, an FDA-authorized treatment that supports retinal health and may improve vision in patients with dry age-related macular degeneration. Valeda® is currently available in our Santa Barbara and Valencia locations.

To find out if you’re a candidate, learn more here.