Physician Referrals

Thank you for allowing us to care for your patient! We value our relationship with you and strive to provide your patients with the best care possible. To send a referral, please see the options below (records are required with each referral):

BY FAX:

To download a pdf version of the appointment request form, insurance information and NPI numbers, click here.

Please fax to: 903.939.7522 or 903.939.7749.

BY PHONE:

To refer a patient by phone, please call our Patient Access Center at 903.939.7500.

FOR WORKER’S COMP:

If workers’ comp related, please click here to download the “Workers’ Comp Confirmation” form and fax to:
903.939.7749, or you can e-mail to apac@azaleaortho.com.