Referring Providers

Forsyth Eye Health and Surgery thanks you for your confidence in our skills and services!

Please see our detailed information below on how to move forward with our referrals process. 

Please click on the link below to download our Referral Form. This form will need to be completed in it’s entirety.

Referral Form

Please send the following information via fax to (336) 602-2591.

For all referrals please include patient demographic information, including patient name, date of birth, preferred method of contact, 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 promptly review these materials and reach out to the patient directly for scheduling. 

If your referral is time sensitive please contact our office at (336) 842-5477, and we will make every effort to accommodate your request as soon as possible. 

Accepted Insurances 

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