PROVIDER & PARTY
- If you are a provider, please download the New Patient Fax Referral Form below.
- If a patient´s insurance company requires a referral from his or her primary care physician to see one of our specialists, it is the patient´s responsibility to provide our clinic with all required referral documentation. Please note that patients must have this referral information for their initial appointment to be seen.
- Contact our patient coordinator at firstname.lastname@example.org. You can also call and request extension x120.
Independent Medical Evaluations
- IMEs are examinations performed by a physician who is not involved in the person’s care, for the purpose of clarifying medical and job issues.