Send Us a Consultation

We realize that we are one of many referral sources and that’s why we want to the referral process as easy as possible. Please review the following steps and as always contact us with any questions.

Step 1: In efforts to streamline the referral process, we ask that patients are referred through the use of a consult request form. In efforts to view and print the form, please use Adobe Reader. Once printed, please complete and fax to our new patient scheduler.

Step 2: Before faxing, gather the last six months of medical records which pertain to the reasons for the referral, including office notes, labs and x-ray reports.

Step 3: Once our coordinator has scheduled the appointment, she will return the completed form to you. If you have not heard from her within five business days, please contact us at (859) 254-7000 x 240.

Thank you for your referral!