Patient Referral Form

Animal Eye Care – Fremont

1612 Washington Blvd.
Fremont, CA 94539
510-623-0444 phone
510-657-6855 fax

Animal Eye Care – Pleasant Hill

2100 Monument Blvd. Suite 7
Pleasant Hill, CA 94523
925-827-2257 phone
925-827-0675 fax

Deborah S. Friedman, DVM, Diplomate, ACVO – Pleasant Hill
Tomo Wiggans, DVM, MEng, Diplomate ACVO – Pleasant Hill
Patricia J. Smith, MS, DVM, PhD, Diplomate, ACVO – Fremont
Holly Hamilton, DVM, MS, Diplomate ACVO – Fremont

    • Please provide a history of the case. Include duration problems, signs observed, recent or appropriate laboratory results, & any surgical or medical treatment. List all ophthalmic and systemic medications that have been used recently.
    • We will send you a referral letter the same day of the patient visit.