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Refer a Patient

If you are interesting in referring a patient to us, you can place your trust in our team to take care of your patients with the same excellent quality of care that you do.

Fax Referral
Please download and complete the referral form below to begin.
Patient Referral Form

Online Referral
We have begun to offer our referring network a web-based solution called ezReferral.
This 2-way communication tool offers an alternative to fax.

If you would like to apply for an account, please click here.

If you already have an account, please click here to send an online referral.

About Referrals

Since 1967, our team has worked with medical professionals in the community and around the world. We look forward to the opportunity to collaborate with you to care for your patients.

The referral booking team is available Monday – Friday for scheduling appointments and consultations. Prism Eye Institute™ respects the trust you have earned with your patients and is committed to open communication and ongoing updates after your patient is seen.

We recognize that your patient looks to you as his or her primary provider — and we expect to navigate your patient back to your ongoing care after being seen by our team.

To refer a patient, you don’t need to know a Prism Associate or have a previous relationship with us.

Our physicians will forward a summary of diagnostic reports and treatments to you as soon as it becomes available.

The Referral Process

Ready to refer a patient? We aim to make the referral process both easy and efficient. Here are your next steps:

Step One: Complete and Submit a Patient Referral Form

Please fill out this referral form and fax it to us at (905) 459-5085 for Brampton or (905) 820-0111 for Mississauga.

If medically urgent, please specify and ensure to send all relevant medical documents with patient.

Please allow 24-48 business hours to process non urgent cases and 12-24 business hours for urgent cases.

Step Two: Confirming an Appointment

Appointment details will be faxed back to your office. Please advise patient of appointment details. To ensure efficiency, we will contact same day or urgent patients directly.

If you have not received a fax back with appointment details after 48 business hours, please call our dedicated physician line for assistance at 905-456-7201.

Step Three: Receive Consult Reports

Consult reports will be sent out within 1 week of your patient’s appointment. Should you require it sooner, please our dedicated physician line at 905-456-7201.