Referring Providers

Forsyth Eye Health and Surgery appreciates your trust in our abilities and services!

Please refer to the detailed information provided below regarding the next steps for our referral process.

To access our Referral Form, please click on the link below. Make sure to fill out the form completely.

Referral Form

Please fax the following details to (336) 602-2591:

When making referrals, remember to provide patient demographic details such as name, date of birth, preferred contact method, and insurance information.

Cataract Evaluation

  • Most recent office note from the referring provider

Glaucoma Evaluation 

  • Most recent office note from referring provider

  • Previous testing; visual fields, OCT

We will review these materials promptly and contact the patient directly to schedule.

If your referral is time-sensitive, please get in touch with our office at (336) 842-5477, and we will do our best to fulfill your request promptly.

Accepted Insurances 

  • Aetna (according to plan)                                         
  • Blue Cross and Blue Shield (according to plan)
  • Blue Cross State Health Plan                             
  • Blue Medicare
  • Cigna (according to plan)                                                    
  • Cigna Medicare
  • Humana                                         
  • Health Team Advantage
  • Mutual of Omaha                                           
  • Med Cost (according to plan)
  • Medicare                                             
  • Railroad Medicare
  • Tricare                                           
  • United Health Care Commercial
  • United Health Care Medicare PPO (out of network benefits only)