For Physicians

Thank you for choosing Louisiana Retina Center and Dr. Blem for the continued care of your patients!

At Louisiana Retina Center, we believe that patients receive optimal care when there is collaborative management between the referring physician and Louisiana Retina Center.

Please complete patient referral form and fax it to our office at 337-264-1211 after contacting the office at 337-264-1011 to schedule the patient's appointment.

Please print and complete the below form and fax it to our office at 337-264-1211 after contacting the office at 337-264-1011 to schedule the patient's appointment.

• Patient Referral Form
• Printable Location Map