California Retina

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  • About Us
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    • Our Doctors
      • Back
      • Robert Avery, M.D.
      • Ma’an Nasir, M.D.
      • Dante Pieramici, M.D.
      • Alessandro Castellarin, M.D.
      • Robert See, M.D.
      • Stephen Couvillion, M.D.
      • Nathan Steinle, M.D.
      • Dilsher Dhoot, M.D.
      • Daniel Learned, M.D.
      • Nika Bagheri, M.D.
      • Julia Sein, M.D.
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    • Patient Portal
    • Your Visit
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      • Preparation for your Eye Exam
        • Back
        • Fluorescein Angiography (FA)
        • Optical Coherent Tomography (OCT)
      • Insurance Plans
      • Registration Forms
    • Diseases
      • Back
      • Age-Related Macular Degeneration
      • Diabetic Retinopathy
      • Retinal Detachment
      • Macular Hole
      • Macular Pucker
      • Central Serous Chorioretinopathy
      • Retinal Vascular Occlusions
    • Treatments
      • Back
      • Laser
      • Injections
      • PDT
      • Surgeries
    • Resources
      • Back
      • Education
      • Amsler Grid Test
      • Other Links
      • Post-Op Instructions
      • Terminology
    • Podcasts
  • For Doctors
    • Back
    • Refer a Patient
    • Referral Form & Location Handouts
    • Upcoming Meetings
    • Podcasts
    • Retina Live!
  • CRC Careers
  • Research
  • Contact Us

California Retina

Refer a Patient
Locations
  • Home
  • About Us
    • Our Doctors
      • Robert Avery, M.D.
      • Ma’an Nasir, M.D.
      • Dante Pieramici, M.D.
      • Alessandro Castellarin, M.D.
      • Robert See, M.D.
      • Stephen Couvillion, M.D.
      • Nathan Steinle, M.D.
      • Dilsher Dhoot, M.D.
      • Daniel Learned, M.D.
      • Nika Bagheri, M.D.
      • Julia Sein, M.D.
      • Chris Wu, M.D.
    • Awards
    • Blog
    • News
    • Partnerships
    • Podcasts
  • Locations
  • For Patients
    • Patient Portal
    • Your Visit
      • Preparation for your Eye Exam
        • Fluorescein Angiography (FA)
        • Optical Coherent Tomography (OCT)
      • Insurance Plans
      • Registration Forms
    • Diseases
      • Age-Related Macular Degeneration
      • Diabetic Retinopathy
      • Retinal Detachment
      • Macular Hole
      • Macular Pucker
      • Central Serous Chorioretinopathy
      • Retinal Vascular Occlusions
    • Treatments
      • Laser
      • Injections
      • PDT
      • Surgeries
    • Resources
      • Education
      • Amsler Grid Test
      • Other Links
      • Post-Op Instructions
      • Terminology
    • Podcasts
  • For Doctors
    • Refer a Patient
    • Referral Form & Location Handouts
    • Upcoming Meetings
    • Podcasts
    • Retina Live!
  • Research
  • Contact Us
  • CRC Careers
   Locations
California Retina

Referral Form & Location Handouts

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

CRC Referral Form

Location Address Handouts

Bakersfield

Lompoc

Oxnard

Palmdale

Paso Robles

San Luis Obispo

Santa Barbara

Santa Maria

Simi Valley

Simi Valley

Valencia

Visalia

Westlake Location

Westlake Village

Macular Degeneration
Diabetic Retinopathy
Retina Tear & Detachment
Other Retina Diseases
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California Retina
California Retina

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