For Referring Physicians
For referrals, please call 731-664-8140.
We will need the following information:
- Patient’s full name
- Date of Birth
- Social Security Number
- Phone number
- Insurance Information
- Reason for referral
If referring for Mohs Surgery, please ensure the following are faxed to us:
- Patient’s pathology report(s)
- Photo of the biopsied lesion or graphical representation if your practice uses paper charts
- Referring provider’s name and contact information
Patient’s medical records and referral documents may be securely faxed to 731-660-8319.
We also request the referring provider’s name and contact information in your fax so that we may keep you informed of your patient’s treatment with us.