Refer a Patient
How Do I Refer a Patient?
There are four ways to refer a patient:
- Submit the form below.
- Download the Patient Referral Form and email it to firstname.lastname@example.org.
- Print the form and fax it to 214-382-3201.
- 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
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