Physician Referral

Thank you for choosing us for the care of your patients. We will make sure the lines of communication are open and clear regarding the treatment and progress of your patient.

We greatly appreciate your referrals to our office and understand that your time is of the utmost importance. In order to simplify the referral process, we have two convenient ways to refer patients to our office.

Online Referral Form

Scheduling By Phone

Patient referrals may be made via phone.

Schedule By Fax

Please download and complete a fax referral form below, and send it to our referral line. Our schedulers will contact your patient directly to schedule an appointment.

Online Referral Form

NEUROSURGERY

Fax Number: (810) 963-1674
Neurosurgery Referral Form

IMAGING

Fax Number: (810) 963-1900
Imaging Referral Form

BEHAVIORAL HEALTH

Fax Number: (810)213-0279
Behavioral Health Referral Form

WELLNESS CENTER

Wellness Center Referral Form

PAIN MANAGEMENT

Fax Number: (810) 213-0228
Pain Management Referral Form

ORTHOPEDIC SURGERY

Fax Number: (810) 213-0412
Orthopedic Surgery Referral Form

PHYSICAL THERAPY & NEUROREHAB CENTER

Fax Number: (810) 963-0908
Physical Therapy & Neuro-Rehab Center Referral Form