Referral Requests

New Referrals

Updated Referral

Referrals can only be created when there is clinical justification. If you are needing a referral to a new office or specialty, you will be required to be seen at our office before the referral can be created.

Updated Referral

If you are requiring an updated referral to a specialty office, we do require a faxed request. Please have the specialist office fax a request with most recent office visit notes to our office.

If you have not been seen at our office in the last 6 months, you will be required to make an appointment before the referral can be updated.

Referral Fax Number: 480-892-2264

Redirecting Referrals

Referrals can take up to 10 business days to be completed and often times cannot be backdated.

Referrals will only be redirected if the facility no longer accepts your insurance. If you are wanting a specific facility, please inform your provider during your appointment.

Referral Requests

New Referrals

Updated Referral

Updated Referral

Updated Referral

Updated Referral

Updated Referral

Redirecting Referrals

Referrals can take up to 10 business days to be completed and often times cannot be backdated.

Referrals can take up to 10 business days to be completed and often times cannot be backdated.

Referrals can take up to 10 business days to be completed and often times cannot be backdated.

Referrals can take up to 10 business days to be completed and often times cannot be backdated.

Referrals can take up to 10 business days to be completed and often times cannot be backdated.

Preferred Specialty Offices