Please note: Starting November 11, Dr. Siebert & Dr. Fox’s patients will be in suite 150 for appointments. Please utilize Door A or Door E, to access 150.

Patient Referral

Verdier Eye Center is a referral-based practice

We look forward to working with you to help address your patient’s eye health needs

If you’re experiencing a medical emergency, please call 911

Together, we can deliver exceptional patient care

To refer a patient, please complete the online referral form below.

Refer a Patient

Download Printable Referral PDF

If you prefer to fill out the paper version, you may download and fax the completed form to Verdier Eye Center @ fax: 616-949-8620.

Download Referral PDF