Referral Forms

wORK WITH US.

Referral Process

Here at MomPremier Eye Institute  we are pleased to work with you and your patients. To make the process easier, you're welcome to send your referrals to us in whichever way suits you the most.

To refer a patient you may use any of the following methods:


EMR: Transmitted by fax, please use the number  469-317-3344

Fax:  469-317-3344
Email: Contact@desotoeyedoctor.com

Downloadable form:  You can download our form and print it off  by clicking on the button below and send it to us.

Download Referral Form

Services

Annual Eye Exam

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Retinal Detachment

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Annual Eye Exam

Schedule your annual eye exam today with MomPremier to keep your eyes healthy as well as prevent any major eye disorders.

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Retinal Detachment

Retinal tears need to be treated by sealing the retina to the back wall of the eye with laser surgery or cryotherapy. 

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Glaucoma

Because there are no initial symptoms, glaucoma is sometimes referred to as the silent thief of sight.  Make sure you're safe.

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Diabetic Retinopathy

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Hypertensive Retinopathy

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Blurred Vision

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Main Office

MomPremier Eye Institute, PLLC

1510 North Hampton Road, Suite #290 DeSoto, TX 75115