Do you consider the patients as new patient, in Cataract and Laser Eye Institute, if they comeback after 1 year or after 3 years? If so, do they require a fresh referral from their PCP/Provider?

Do you consider the patients as new patient, in Cataract and Laser Eye Institute, if they comeback after 1 year or after 3 years? If so, do they require a fresh referral from their PCP/Provider?

 
Patients who have not been seen in 3 years would be come a new patient. 
Here in PA we do not require PCP referrals