SCHEDULE YOUR
CONSULTATION TODAY!
Call us at 214-382-3200
or enter below:

"*" indicates required fields

Hidden
Hidden
This field is for validation purposes and should be left unchanged.

Refer a Patient

Precision Vascular is your premier center for vein and artery disease treatment. With multiple convenient locations, our expert doctors and medical staff members offer cutting-edge vein, artery, and vascular treatments to residents of Dallas, Fort Worth, Denison-Sherman, and the neighboring communities in northeast Texas. We are proud to offer local doctors online resources to better help their patients.

How Do I Refer a Patient?

There are four ways to refer a patient:

  1. Submit the form below.
  2. Download the Patient Referral Form and email it to referral@precisionvascular.com.
  3. Print the form and fax it to 214-382-3201.
  4. Submit the form in your EMR system.

With your submission, we ask you please include the demographics, insurance information, patient history, a physical and most recent note, and prior test results including an ABI report if available.

Precision Physician Referral Form

"*" indicates required fields

Patient's Name

Reason for Referral (please select all that apply*

STAT

Is this a STAT issue (DVT, Critical Limb Ischemia, Lower Extremity Wound/Gangrene)? If so, please call us at 214-382-3200 for immediate scheduling.
Patient's Preferred Location

Physician Name

Office Contact

Drop files here or
Accepted file types: jpg, gif, png, pdfjpeg, Max. file size: 50 MB.
    This field is for validation purposes and should be left unchanged.
    The expert doctors and highly-skilled team members at Precision Vascular are proud to offer surgical and non-surgical treatments for vein and artery diseases. We are proud to offer treatment to patients in Dallas, Fort Worth, Denison-Sherman, and the neighboring communities in northeast Texas. Contact us to schedule your private consultation with one of our medical professionals today.
    Accessibility by WAH