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Refer a Patient
We welcome referrals and are committed to making the process as smooth and secure as possible. Referrals can be sent by fax or through our secure and compliant email system.
Send Referral
Information to Include
To ensure smooth processing, please include:
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Patient’s first and last name
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Date of birth
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Telephone number and email address
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Brief reason for referral
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Referring clinician’s name and billing number (if applicable)
Referral Form (optional)
For your convenience, please download and complete our fillable referral form.
Once completed, you can send it by fax or secure email.
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