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Refer a patient

Send a referral by secure fax, secure email, or online. We accept partial information and follow up for the rest. We contact the patient the same business day and bill Medicare Part B directly. Visit notes and progress photos come back to your EMR.

Secure fax
469-312-2506

Printable referral form

Referring provider
Patient
Wound
Ordering physician

All services are physician-ordered and provided only when medically necessary. Fax completed forms to 469-312-2506. Please send PHI by secure fax or secure email only.