New Appointment/Referral

Please have your referring physician complete the referral form below and fax it to our office. We will evaluate the information and determine the suitability of our practice for your medical care. If we believe that your condition is appropriate to our practice, we will contact you to schedule your evaluation. We will let you and your primary care physician know if we feel you would be better referred elsewhere.

Please fill out paperwork or enter information on the patient portal prior to your appointment.  Bring paperwork, insurance card/information, state ID, and co-payment to your appointment.

Fax Referral Form


Prior to your appointment, you are responsible for contacting your insurance company to be sure that your appointment and the practitioner you are scheduled to see are covered by your policy.  If you have questions, please call our office.  We accept many out-of-network commercial policies at network costs.

You are responsible for paying any charges that your insurance policy does not cover.  Please call your insurance company for that information. The phone number is probably on the back of your insurance card.

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