How to Refer

You can refer a patient to us in several ways:

• Send an e-mail to info@corneaclinic.nl
• Fill out the referral form below
• Fax this patient referral form to 0031 10 2974440
• Call our medical team for a peer consultation at 0031 10 2974444

We are committed to keeping patients’ wait times short. You can expect:

• 3–4 weeks for an initial consultation
• 6–10 weeks for a corneal transplantation

It is often possible to combine a patient’s initial consultation with his or her surgery, so your patient only has to travel to the clinic once. In that case, please send us the patient’s ophthalmological records so our medical team can assess the case and create a treatment plan. Our doctors may contact you for additional information.