Maryland Statutes
Subtitle 4 - Miscellaneous Provisions
Section 11-402 - Duty of Referral

(a)    If, while providing optometric services to a patient, an optometrist or diagnostically certified optometrist detects or diagnoses an active eye pathology which the optometrist is not licensed or certified to treat under § 11-404 or § 11-404.2 of this subtitle, the optometrist shall refer the patient to:
        (1)    An ophthalmologist or a therapeutically certified optometrist, as appropriate;
        (2)    The patient’s physician;
        (3)    A physician if required under a managed care contract; or
        (4)    A hospital emergency room or ambulatory surgical center if necessary.
    (b)    If, while providing optometric services to a patient, a therapeutically certified optometrist diagnoses an active eye pathology that the optometrist is not certified to treat under § 11-404.2 of this subtitle, the optometrist shall refer the patient to:
        (1)    An ophthalmologist;
        (2)    The patient’s physician;
        (3)    A physician if required under a managed care contract; or
        (4)    A hospital emergency room if necessary.