Referring Physicians

The Referring Provider Office is your one-stop team for scheduling appointments and arranging telephone consultations with South Bay Retina.

Thank you for referring your patients to South Bay Retina.

South Bay Retina respects the relationships you have with your patients and is committed to open communication and prompt follow-up after your patient is seen. We recognize that your patient looks to you as his or her primary provider and we expect to entrust your patient back to your ongoing care after being seen at South Bay Retina.

For providers using an EHR with a HIPPA-compliant Email, please email the patient’s CCD to our HIPPA-complaint email:

Patients can also be referred to our clinic using the form below. Completed forms can be faxed to 408-294-3214. We will reach out to the patient to schedule their initial appointment!

Call us at (408) 294-3534 or request online.

San Jose Office

Gilroy Office


We're happy to answer any questions you may have, feel free to call us at
(408) 294-3534