Patient Referrals
Patient Referrals
New Patient Appointments
New patient appointments require a physician to send a referral request on your behalf. The referring physician can be a specialist you saw who identified an oncology-related condition or your primary care physician.- New patient: you have a medical condition that is or could be cancerous or a blood disorder
- Transfer care: you are moving into the area and need an oncologist/hematologist, or you are currently under the care of a local oncologist/hematologist and would like to transfer care to one of our physicians
- 2nd opinion: you have been diagnosed with cancer or a blood disorder and would like to get a second opinion on the prognosis and treatment course
- Former patient: if you have not been to the office in 3 years or more, you will need to get a referral sent in by a physician to re-establish care
Referral Forms
Send the referral form to your physician to refer and ask them to send with the following items:
- Referral form your physician needs to send
- Your demographics
- Your insurance card (front & back)
- Last office visit note
- Test results/labs/bloodwork/scans/pathology
HAVE THE PHYSICIAN FAX THE REFERRAL FORM ALONG WITH THE DOCUMENTATION LISTED ABOVE TO
*****FAX # 704-377-0353*****