Create a Referral

If you are requesting an appointment please complete the form below and we will contact you within one working day to discuss your request, or, to make your initial appointment by phone, call 972-578-7000. Do not use this form for urgent medical matters.

 

For medical emergencies, please call 911 or go to your local emergency room immediately.

 

Notice: We only take referrals that are in english.

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Referral Form

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