New Patient Referrals
Trusted Care for every Referral
Please send new patient documents to:
Please include the following documentation:
1. Face sheet / Demographics Sheet
- Including patients and/or POAs contact information, phone number, and patient's address.
2. Insurance Card
3. Signed Referral / Consult Order
- For wound care evaluation:
"Wound evaluation and treatment by Wound Docs"
- For G-Tube evaluation/replacement:
"G-Tube evaluation/replacement by Wound Docs"
If Available:
- Wound site description, diagnosis, and any current wound images
- Any notes including HPI, progress notes, hospital notes, labs. and medication list
- Case Managers name and contact number