For Referring Physicians

For referrals, please call 731-664-8140.

We will need the following information: 

• Patient’s full name
• Date of Birth
• Social Security Number
• Phone number
• Insurance Information
• Reason for referral 

If referring for Mohs Surgery, please ensure the following are faxed to us:  

• Patient’s pathology report(s) 
• Photo of the biopsied lesion or graphical representation if your practice uses paper charts 
• Referring provider’s name and contact information

Patient’s medical records and referral documents may be securely faxed to 731-660-8319.

We also request the referring provider’s name and contact information in your fax so that we may keep you informed of your patient’s treatment with us.