REFERRALS

IF YOU NEED TO REQUEST A REFERRAL

• ​Call our office to reach referrals - option 3 and then option 2.

• Complete and Send a Referral Request Form ​

• Request a referral through our web portal.

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Information required when calling for a referral request:

Patient Name 

Patient Date of Birth

Primary Care Doctor's Name

Patient Insurance Information

Specialist Name

Date of Service

Reason for Visit

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All referrals will be processed within 24 to 48 hours, excluding weekend and holidays.