Instructions
Download and complete the appropriate referral form.
Prepare the following supporting documents:
Submit the completed form to the number/address 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 call you with information about the patient’s first appointment. Your office is responsible for providing the patient with the appointment information. This information includes time and location of appointment, and important documents, test results and imaging that they must bring. It is extremely important to ensure that your patient brings CD copies of their recent MRI, CT or Ultrasound. These copies will be required at their first appointment.
If your patient needs immediate, urgent* care, contact the appropriate physician directly to complete an urgent referral.
*Note: Only testicular cancer and suspicious testicular masses are considered urgent.