Important Phone Numbers

Phone Number
Referrals (860) 665-0174
Fax (860) 666-7788
Office Manager/Krystyna Wendorff (860) 665-0174
Administrator/Dwayne Kertanis (860) 665-0174 x224
Clinical Director/Donna Brayfield
(860) 665-0174 x230

Patient Forms

Physicians should use the following forms when referring patients to the Eye Surgery Center

Admission Forms:

Consent Forms:

Physician's Order Forms:

More Hartford Hospital forms can be obtained from our Forms page at www.harthosp.org/forms.