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

Dr. Ma’an Nasir Is Retiring!

After 30 years of service, Dr. Nasir is retiring from California Retina Consultants. His last day is Feb. 27th. We thank him for three decades of dedication, mentorship, and support.