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Physician Resources

Referral Forms, Appointment Pads & Brochures

We have referral (consultation request) forms, brochures, and business cards. If you are interested in receiving any of these resources, please send an e-mail to our physician liaison, Michelle Kelly at or by phone at 602.320.3112 and we will deliver them to your office.

Or use our online referral consultation request:  Online Referral Form

AMD Support Services – Meetings

Associated Retina Consultants in coordination with the International Low Vision Support Group hosts support group meetings in three valley locations: Phoenix, Peoria & Mesa. Facilitated by an experienced retina technician, sessions will include audio visual presentations and guest speakers. A variety of topics such as low vision rehabilitation and adapting your home environment will be a part of the planned discussions.

AMD Support Group

Portal to Portal Direct Address

For physician’s participating in MIPS/MACRA that have a patient portal, please use the following direct address via your portal program for transitions of care and patient clinical visit summaries: