Teamwork

TO REFERRING PROVIDERS

If you are referring a patient, please provide:
Your contact information (phone, fax, email)
A referral reason

Patient history
A copy of any relevant imaging (disc and reports) and labs

Patient contact information

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Thank you for your referral!

We are honored to collaborate in the care of your patients and hope to enhance your practice through consultations and clear communication.

Fax 281.525.4183