Referring Physicians

Thank you for referring your patient(s) to our care. You may download the referral form from this page. Complete the appointment request form and fax it to 205-330-3261. Our staff will contact the patient directly to schedule their appointment. Once your patient's appointment is scheduled, you will receive a confirmation from us. If you have any questions, please contact our scheduling department at 205-759-7800.

New Patient Referral Form