Medical Referral Center

Medical Referral Center

EYEREUM will help in any way medically possible for your patients.

If your clinic’s patient needs special professional care, please use the EYEREUM Referral Center.

If your clinic's patient needs special professional care, please use the EYEREUM Referral Center

EYEREUM accepts medical referrals and will help your clinic’s patients with any professional medical attention, such as keratoconus, or side effects due to laser surgeries.

Please download and fill in the referral application and send it back to us via email or fax. For patients’ safety and privacy, please note that we do not accept referrals over the phone.

FAX : 02)3420-2039
E-MAIL : eyereum@eyereum.com

진료의뢰서

아래 기재된 환자를 아이리움안과에 진료 의뢰합니다.

항목내용항목2내용2
환자 성명주민등록번호-
최초 수술
현재 상태
마지막 진료일특이

의뢰내용

  • 원추각막 치료
  • 시력교정 재수술
  • 특수 시력교정 수술
  • 안내렌즈 교체 및 제거
  • 기타

기타 내용

2023. .

(병원이름)
(병원주소)
TEL
(전화번호)
FAX
(팩스번호)

EYE REUM 아이리움안과의원 EYEREUM EYE CLINIC