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| Please click here to submit your referral online. |
You can either cut and paste into this form, or fax to us, any pertinent medical records, laboratory tests, and imaging reports. Please send pertinent radiographs and ultrasound images with your client.
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Please click here to download our 1-page form to submit your referral by fax. |
This completed form can be faxed to our office, along with any pertinent medical records, laboratory tests, and imaging reports. Please send pertinent radiographs and ultrasound images with your client.
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