Make a Referral
Referrals as easy as FILL-2-3
To refer a patient for critical care, internal medicine, surgery, or any of our other specialists, please send a completed Referral Request Form (see attached form) with all pertinent medical records and/or lab results to firstname.lastname@example.org or fax (480) 963-6650. An online fillable Referral Request Form is also available below for your convenience! We are available for telephone consultations as well, so please do not hesitate to call any of our locations if we may be of assistance.