Refer a Patient to

Cascade Eye & Skin Centers!

When your patients need caring and experienced specialists, refer them to the experts at Cascade Eye & Skin Centers.

Referring a Patient is Easy

We appreciate your trust in Cascade Eye & Skin Centers. At Cascade Eye & Skin Centers, we pride ourselves on delivering the highest quality of care to patients of all ages in the South Sound community. We provide a range of specialty services with over thirty skilled healthcare providers, including:

Ophthalmology
Retina
Cornea
Optometry
Dermatology (including pediatric dermatology)
Aesthetics

We work closely with our referring providers to ensure every patient receives the same high-quality care they have come to expect. Additionally, we provide prompt communication and collaboration with each patient’s referring provider to ensure we meet the unique needs of each patient.

Refer by Phone

Call 253-272-9300 any time Monday  through Friday from 8 AM to 5 PM PT.

Refer by Email

For EHR to EHR referrals, please email c.referrals@cascade.emadirect.md.

Complete Referral Form

Fill out the form below to submit your  patient referral electronically.

Refer by Fax

Please fax patient information, reason  for referral and supporting clinical  documentation to 253-201-5791.

Referring Physician Information:

Referring Physician Information*(Required)

Referring Provider NPI Number

Referring Practice Name*(Required)

Referring Practice Phone*(Required)

Referring Practice Fax*(Required)

Referring Practice Email Address*(Required)

Appointment or Referral Information:

Patient First Name*

First

Patient Last Name*

Last

Patient Gender*

Patient Birth Date*

Patient Phone Number*

Patient Email*

Address*

Street Address City State / Province / Region ZIP / Postal Code

Insurance Name/Plan*

Subscriber Number*

Group Number*

Patient Information:

Appointment Type*

Urgent

Non-urgent

Recent Lab or Pathology Results?*

Yes

Reason for Referral*

Please attach supporting documentation in PDF Format

Drop files here or

Accepted file types: pdf, Max. file size: 50 MB, Max. files: 5.

Please upload any relevant medical documentation, including lab or pathology reports, relevant chart notes, demographics, etc.