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Refer by completing and submitting the form below.
Refer by fax: Complete our referral form on your computer or download and complete it, then fax it, along with any relevant documents to 972.905.9489.
Refer by phone: Call 1-844-594-6537 or 972-905-9435 to make a referral.
Urgent Referrals: For urgent requests, please call 1.844.594.6537 or 972.905.9435 to request an urgent appointment.
Follow up: We will reach out to the patient and they will receive notification from us when the appointment is scheduled.