Instructions
Download and complete the consult request form.
Submit the completed form to the number provided on the form. The form will be reviewed to ensure that it is complete; if incomplete, the form will be returned to you.
Our office will contact the patient directly with their appointment information.
Note: It is extremely important to ensure that your patient returns their completed Family History Questionnaire and Personal Medical History Questionnaire to the clinic before their appointment or their appointment may be rescheduled.
Urgent Referral Instructions
If your patient needs an urgent appointment, complete the steps above, including the urgent referral section of the consult request form.