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Nicolas Biro, M.D.Oculoplastic Surgery
Request

For Clinicians

Plan an Oculoplastic Referral

Choose the office that will receive the referral, confirm that location's current process, and obtain its approved secure method before transmitting records or images.

Contact an Office

Common Referral Concerns

This list is not exhaustive. Call the intended office if the most appropriate destination or urgency is uncertain.

  • Ptosis, eyelid malposition, exposure, or impaired eyelid closure
  • Periocular lesion evaluation or reconstruction after Mohs surgery
  • Persistent tearing or suspected lacrimal drainage disease
  • Thyroid eye disease, orbital mass, trauma, or globe-position change
  • Functional or cosmetic upper- and lower-eyelid consultation
  • Complications or anatomic concerns after prior periocular treatment

Information That May Help Triage

Ask the receiving office what it needs and how it wants the information transferred before sending protected health information.

  • The clinical question, symptom onset, progression, and relevant examination findings
  • Prior eyelid, orbital, tear-system, skin-cancer, or facial procedures
  • Relevant pathology reports, imaging reports, and access to actual image files
  • Current medications, allergies, and medical conditions relevant to evaluation

Urgent and emergency conditions need direct clinical escalation

Do not rely on website email or a routine appointment request for acute vision loss, severe eye pain, major trauma, pupil change, suspected orbital compartment syndrome, or another emergency. Follow the appropriate emergency or clinician-to-clinician pathway.

Confirm before sending

Contact the Receiving Office

Current referral requirements and secure transmission methods are controlled by each practice and may change. BiroMD email is not a referral portal and should not receive patient records.