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Referral Network

  • Thank you for the trust you put in Texas State Optical Keller. This information will will be transferred to a staff member who will contact the patient in a timely manner. Texas State Optical Keller is committed to treating and using protected health information responsibly. In using this information, our office will comply with all state and federal laws pertaining to a patient’s privacy rights, including the Privacy and Security protections provided to the patient by HIPPA.

    Please note: This form is for referring doctors and staff only.

    If you are a patient, please call our office at 817-431-4100 or fill out our contact form here.

  • Date Format: MM slash DD slash YYYY

Welcome to Texas State Optical Keller