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  • Services
  • Insurance
  • About Us
  • Contact Us
  • Photo Gallery
  • Before & After Gallery
  • At-Home Care
  • FAQ
  • Patient Portal

PATIENT REFERRAL

Please fax a DME order along with applicable clinicals to 866-680-1322. Our DME order forms can be downloaded below for your convenience.

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Advanced Eye Prosthetics

833-208-9009

Downloads

Order for Ocular Prosthetic Services (pdf)

Download

Medicare Written Order for Ocular Prosthetic Services (pdf)

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