Doctor Referral Form: DOWNLOAD PDF After completion, upload it below, or fax it to 214-382-3201. Upload completed Doctor Referral Form (PDF) Acceptable formats: .pdfSCHEDULING CONTACT: 214-382-3200 VerificationPlease enter any two digits *Example: 93This box is for spam protection - <strong>please leave it blank</strong>:
