Affiliate Programme

Upcoming Events

Exclusive to General Practitioner (GP) and Eye Care Practitioner (Optometrist/Optician) Be part of the OasisEye Affiliate Programme — Together, We Protect Vision & Restoring Sight.

At OasisEye, we recognize that your dedication to your patients’ vision is your top priority. That’s why our OasisEye Affiliate Programme is designed to be a direct extension of your practice, providing expert support and resources to ensure your patients receive a smooth, coordinated care experience for their eye health.

Discover more about how we can help you and your patients by signing up below.

Benefits & Privileges

Sign Up as Affiliate

Full Name

MMC / MOC Number

NRIC/Passport No
(optional)

Clinic Name

Contact Number
(without dash)

Clinic Address

Email Address

I have read, understand and consent to OasisEye Specialists Privacy & Personal Data Protection Policy

I agree to receive updates on the OasisEye Specialists activities and talk

Referral Form

Refer your patients or customers to OasisEye Specialists through 2 simple methods:

Download / Email – To refer a patient, please download the Referral Form, complete and email the form to appointment@oasiseye.my
Referral Form
Submit Online – For a faster, paperless process, complete and submit the referral form online using the form below. We will promptly review the referral and coordinate the necessary care arrangements for your patient.

Preferred Branch

Preferred Ophthalmologist

General Practitioner (GP) and Eye Care Practitioner (Optometrist/Optician) Details

Name

Contact Number
(without dash)

MMC / MOC Number

Email Address

Clinic / Optical Shop Name

Location

Patient’s or Customer’s Details

Full Name
(as per IC & preferred title)

Contact Number
(without dash)

NRIC/Passport No
(optional)

Is your Patient / Customer an Existing Patient of OasisEye Specialists?

Does your Patient / Customer already have a Referral Letter from GP?

Mode of Payment

Does your Patient / Customer have Personal or Corporate Insurance Coverage?

Please State your Insurance Name

Preferred Date of Visit
(The appointment is not confirmed until our team has contacted your patient / customer)

Reason of Visit

Remarks / Others

I have read, understand and consent to OasisEye Specialists Privacy & Personal Data Protection Policy

Upcoming Events

OasisEye Specialists KL

Virtual