Once you choose a specialist and have scheduled an appointment, you can request a referral by:
To process your referral accurately and timely the following information is required:
- Patient’s name
- Patient’s date of birth
- Patient’s telephone number
- Specialist’s name
- Specialist’s telephone number
- Specialist’s fax number
- Specialist’s NPI
- Date of appointment
- Reason for appointment (diagnosis)
If you do not have all of this information, please contact the specialist's office to obtain the needed information prior to submitting your request.