Referrals

Refer a Patient to Dr. Chirag Shah

Thank you for considering Dr.  Shah for your patient’s ophthalmology needs. To streamline the referral process, we have provided an easy-to-use referral form. Please click the link below to access the online form and ensure your patient receives the highest quality of eye care.

Physician Referral Form

Prefer a Physical Copy?

For those who prefer a more traditional approach, a PDF version of the referral form is available for download. This printable option allows you to complete the form manually and submit it at your convenience.

Physician Referral Form PDF

For any questions or assistance, feel free to contact our office at 858-687-2020. We look forward to collaborating with you to enhance your patient’s vision health!