Refer a Patient – Referring Provider Offices Only

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First available is default. Please type in preferred provider if applicable.

 
 
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To streamline the referral process, please upload the following documents for the patient you are referring, if applicable.


  • Copy of Insurance Cards (Front and Back)
  • Recent Office Notes
  • Radiology Report (Please have patient bring scans on disk to appointment)
  • ALL Recent Labs (This includes Urine Cultures and/or Pathology)
Drop your files here
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