Submit Referral

REFERRING PHYSICIANS – Thank you for choosing to refer your patients to us, Eye Physicians of Central Florida, a Division of Florida Pediatric Associates, LLC.
We consider your referral the highest compliment and confidence in our work. Our focus is to provide your patient with excellent, convenient and seamless care while keeping you, our referring physicians, well informed.

We have a dedicated ambassador, Megan Urshan, whose mission is to ensure that we’re effectively interacting with both you and your staff. Any shortcomings are noted, analyzed and discussed for better service to you, our referring physicians. Megan can be reached at or by phone at (407) 478-7345.

You can also fill out Referring Physician Satisfaction Survey.

Please complete the referral form below and we will take care of the rest.

NOTE: If this is an emergency referral, please contact our office directly, at 407-767-6411


  • Patient's Information

  • MM slash DD slash YYYY
  • Referring Physician Information

  • What is the reason for referral?

  • Please send the patient's medical records at your earliest convenience. Our fax is 407-767-8160

Serving Central Florida areas not exclusive to Orlando, Maitland, MetroWest, Winter Park, Lake Mary, Oviedo.
Central Florida Counties: Orange and Seminole County

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