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FOR REFERRING PROVIDERS

Refer a Patient

Submit a referral using the form below. Our team will follow up with your office to coordinate evaluation and next steps.

    Referring Provider

    Patient Information

    Reason for Referral

    Please upload or fax relevant records to +1 (334) 828-7317: office notes, labs, imaging, or prior authorization if applicable.

    Location

    3124 W Main St #3
    Dothan, AL 36305

    Office Hours

    • Mon – Fri
      9am – 5 pm
    • Sat – Sun
      Closed