Referral Information


We accept new patients every day, and urgent or emergency referrals are seen the same day.

Referral form – .pdf version, fill, print and fax

New Patient Forms – .pdf version, fill, print, and mail or bring with you to your appointment.

Disclaimer for Online Referral Form
The Online Referral Form below was created by Saratoga Ophthalmology.  It is intended for professional use by healthcare providers only. Healthcare providers, please note that this method of electronic referral is active during regular office hours only. If this is an urgent patient referral, please call the office directly during regular business hours.  If you are a prospective patient interested in a self-referral to one of our doctors, please call us at (518) 580-0553 for an appointment. Thank you.

Online Referral Form

  • Date Format: MM slash DD slash YYYY

Our Locations
Come Visit Us


Saratoga Ophthalmology
658 Malta Avenue,
Suite 101
Malta, New York 12020

Tel: (518) 580-0553
Fax: (518) 580-0557
Get Directions


Saratoga Ophthalmology
2200 Burdett Avenue,
Suite 206
Troy, New York 12180

Tel: (518) 580-0553
Fax: (518) 271-6394
Get Directions

658 Malta Ave, Suite 101 Malta, NY 12020 (518) 580-0553