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Referring Doctors – Forms

Note: Referring Doctors Request an Appointment – coming soon.

Referring Doctors Information Note: You will need Adobe Acrobat Reader to view these forms. If you do not have Adobe Acrobat Reader, you may download it by clicking here.

*CEI is now performing Surgical History and Physical Exams. Please contact us at 513-984-5133.

Meaningful Use

If you are participating in Stage 2 Meaningful Use, below are CEI’s direct email addresses for our doctors. You may need these to enter into your direct website so you can send CCD (Continuity of Care Documents) to CEI electronically.


The Cincinnati Eye Institute Foundation

Face & Eye Aesthetic Center

The Hearing Services at Cincinnati Eye Institute

Northmark Pharmacy at Cincinnati Eye Institute

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14 Convenient Locations in Ohio, Northern Kentucky and Indiana

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