Make A Referral
Please use our secure online forms to make a referral for service for our low vision clinic and vision rehabilitation services. Our service territory in Washington State is King, Snohomish and Skagit counties for all services. We also have a low vision clinic in Kitsap county.
Download the Physician Referral Form
For General Referrals
Download the General Referral Form
Downloaded forms can be faxed to (206) 525-0422.