Fast, simple, and built for how your office already works.
Download the Referral Form
A fillable PDF — complete it on screen or by hand, then fax it to the number above.
Fill this out and it goes straight to our team.
Submitting sends the details below directly to hello@theclearvisionclinic.com — no fax needed. If you'd rather send your clinic note by fax instead, use 479-579-2067.
Insurance & Credentialing
Clear Vision Clinic is in-network with all major local insurers. Credentialing is still pending with Blue Cross Blue Shield plans, the PASSE program, and Medicaid. Please call or text us at 479-425-3541 before your patient's scheduled appointment so we can confirm we're in-network for their specific plan.
A Quick Note on Location
Dr. Covey is currently still seeing patients at her current clinic. Any patient with an appointment scheduled after October 12, 2026 should simply show up at our new location, 1651 E Stearns St, Ste 110, Fayetteville — the appointment itself doesn't change. All medical records and imaging transfer automatically, so there's nothing extra your office or your patient needs to do. We will keep referring offices updated as this transition progresses.
Conditions & Treatments
Cataract & Refractive
- Cataract evaluation
- Premium lens consultation
- Second opinions
- Surgical management
Retina
- Wet AMD
- Dry AMD monitoring
- DME
- BRVO with macular edema
- Diabetic retinopathy / PDR
- Intravitreal Avastin
- PRP
- Laser retinopexy
Glaucoma
- Glaucoma / glaucoma suspects
- Ocular hypertension
- SLT
- Medical management
- MIGS evaluation
- Cataract + glaucoma surgical management
Your patient stays your patient.
Patients referred for cataract surgery return to their referring optometrist for postoperative and ongoing primary eye care whenever appropriate.
We built Clear Vision Clinic around a referral-based model — we're not trying to become your patient's full-time eye care home. We handle the surgical and medical retina/glaucoma care that requires a specialist, and your patients come back to you for their glasses, contacts, and ongoing primary eye care.
Questions about a referral?
Call or text us directly — we're happy to help.