Vitreo-Retinal Consultants

(317) 582-1118 - (800) 899-3937


David V. Poer, M.D., F.A.C.S.

For Referring Physicians

Consultation Request

Your patient's care is our first priority. Please provide the required information and we will contact you shortly.

It is customary for us to contact your office within 24 hours or less of receiving your eConsult Request and prior to scheduling an appointment with your patient. In the event of an emergency or urgent situation, please contact us by phone at (317)582-1118.


Referring Physician Name:
Name of Office Practice:
Office Phone:
Direct Line (if desired):
Patient Name:
Patient DOB:
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