For Referring Physicians

At Northern California Retina Vitreous Associates, we are always happy to see your patients, and we will make every effort to see your patient in a timely manner.

Referrals

Please use the online referral form at the link below to refer a patient quickly and easily. If the referral is emergent or urgent, please select either and a referral coordinator will get back to you as soon as possible during business hours or the next business day for referrals after business hours.

• Online Referral Form

Office Phone and Fax Numbers

• Mountain View:  (O) 650-963-3460; (F) 650-963-3480
• San Mateo: (O) 650-340-0111; (F) 650-340-9689
• West San Jose/Good Samaritan: (O) 408-356-8818; (F) 408-356-8849
• East San Jose: (O) 408-251-3500; (F) 408-251-3535
• Monterey: (O) 831-373-6280; (F) 831-373-0151
• Daly City: (O)650-994-2100; (F) 650-994-2121

Patient Forms

Save time in the waiting room! New patients, please print and complete the New Patient Packet below before your appointment and bring the forms with you to your appointment.

• New Patient Packet - 6 pages