PHYSICIAN REFERRAL FORM

(Patients need to have a referral signed by a doctor prior to testing)

Instructions for sending the Referral form:

1. Click here to download the Referral Form

2. Fill out the the form and click download (With your changes) and save it to your computer.

3. Go to the folder where you saved the form and open it. Click Submit button at the bottom of the referral form.

4. Choose Default Email Application and click Continue. It will open a new mail and will attached the referral form automatically.

5. You can type your message in the body section or click Send right away.