Three ways to send us a patient referral
Fastest for most offices. Pick the medication and fill out its online form.
Find a medication →Filled out the PDF on your screen? Upload it with labs and notes. Secure, no fax needed.
Upload it below ↓Print the PDF and fax it with everything listed in the medication's requirements.
Include the referral form plus everything in the medication's requirements: labs, insurance cards, office notes, etc.
Questions about a referral? Call (410) 357-1125