Referral

Referrals from Healthcare Providers

Lighthouse of Pinellas is your partner in the care of your patients with low vision or blindness. If low vision is preventing your patient from easily performing typical activities of daily living like applying toothpaste on a toothbrush, shaving, pouring something to drink, seeing the buttons on a remote control or reading, the Lighthouse staff is here to help. Our primary goal is to help individuals with vision impairment live as independently as possible.

The Lighthouse of Pinellas is accredited by the National Accreditation Council for Blind and Low Vision Services and our professional staff are experts in the field of blindness and visual impairments. All of our rehabilitation staff have Bachelor’s Degrees and most have Master’s Degrees in Visual Disabilities as well as national certifications in their field of specialty.

 

Referral Form for Download

Fax to (727) 544-5511 or send an email to referrals@lhpfl.org

Download/Print Patient Referral Form

Online Referral Form

    Reasons for Referral: (required)

    Visual Acuity: OD/OS (required)

    Visual Field Impairment: (required)

    Please write your signature in the area below

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    How Can You Help?

    Lighthouse of Pinellas

    6925 112th Circle North, Suite 103
    Largo, FL 33773-5200
    Phone: 727-544-4433
    Fax: 727-544-5511

    Hours of Operation

    Monday – Friday 8:30 am – 4:30 pm
    Closed Saturday and Sunday