Referring Doctors Form

We value our relationship with our referring doctors and their staff. We try to accommodate all referrals to our office in a timely fashion usually within a week, Emergencies are seen most frequently on the same day. Your patients are our patients and they will be treated with care and compassion. If a referring office needs to speak with Dr. Eisner regarding a mutual patient, he will respond in a timely fashion to discuss the referring doctor’s needs and the patient’s concerns.Our administrator Sonny Diblasi is always available to speak to you and your staff. At times when she is not in the office she can be reached via her cell phone which is provided to all referring offices.

Online Referral Form

You may refer patients to our office by filling out our secure online Referral Form. After you have completed the form, please make sure to press the Complete and Send button at the bottom to automatically send us your information. The security and privacy of patient data is one of our primary concerns and we have taken every precaution to protect it.