Click HERE to download our referral form.

For general referrals, please fill out the above referral form and fax to 414-281-0959.

For urgent referrals, please call our office directly at 414-281-0424 for assistance with scheduling.

For corneal referrals to Dr. Hart Moss, please return the above referral form, and mail color copies of all topographies and diagnostic imaging to our Medical Records Department, at the address listed below. Please include all pertinent medical records, including past refractions and keratometry

Ophthalmology Associates

Attn: Medical Records/Dr. Hart Moss

6020 S. Packard Ave. Cudahy, WI 53110