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  • (945) 303-9015
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  • Referring Physicians

    We value the partnership of our referring providers and would like to make the referral process as seamless and secure as possible.

    To ensure your request is handled promptly and in compliance, please select the option below that best fits your needs.

    Please download, complete, and fax this form to: (945) 600-3521.
    Our team will review the details and contact your office shortly.

    Medical Files Patient History Streamline Icon: https://streamlinehq.com Physician Referral Form

    Referring Physician 2

    Contact Info

    Phone Actions Ringing Streamline Icon: https://streamlinehq.com (945) 303-9015

    Send Email Paper Plane Streamline Icon: https://streamlinehq.com [email protected]

    Pin Streamline Icon: https://streamlinehq.com pin 12720 Hillcrest Rd, #702
    Dallas, TX 75230

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    Our Hours

    Monday8:30am – 4:30pm
    Tuesday8:30am – 4:30pm
    Wednesday8:30am – 4:30pm
    Thursday8:30am – 4:30pm
    Friday8:30am – 4:30pm
    SaturdayClosed
    SundayClosed