Clinical Referral Form Submission
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All Referrals are handled through our Referral Ticket Portal below.

You can use this portal to check on your previously submitted referrals and submit new patients easily. To submit a new referral simply click [+Ticket] and attach your completed patient referral form.

To review your previously submitted referrals click on the [Receive Link] and a access link will be sent to your email address. This will last for 24 hours and is completely secure.

Please use the downloadable form [click to download below] to complete your referral or alternatively upload your own referral form. Once submitted you will receive a confirmation email to your chosen email address. Please retain a copy of your form for your records.

If you have any technical issues with this system please contact admin@eyesurgeryscotland.co.uk

If you are a patient looking to book an appointment please click here
‍ to contact us directly.
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Click here to download the Clinical Referral Form
If you are unable use our submission portal click here to use the alternative submission portal