Refer a Patient
We make referrals simple. Choose the method that works best for your practice.
Four ways to refer
Online Form
Submit a structured referral online. Fastest method. Confirmation sent to your inbox immediately.
Submit Online ReferralFax
Download our referral PDF, complete it, and fax to our secure HIPAA-compliant fax line.
Fax Number
(972) 942-9942
Secure Email
Prefer email over forms? Enter your address and we'll send you a secure, HIPAA-compliant link you can reply to with referral details and any attachments.
SendSafe™
Send referral details and clinical attachments via a HIPAA-compliant encrypted message. No account required.
Send Secure MessageWhat to include
Please include the following in your referral to expedite scheduling:
Accepted plans
Search our full insurance list to verify your patient's coverage before referring.
Referral Form PDF
Submit a referral
Fill out the form below. We'll contact you and the patient within one business day to confirm scheduling.
Referral Submitted!
Thank you. Our team will contact both you and your patient within one business day.