Patient Referrals
If you are a physician or a physician’s office, please send a fax to (817) 886-9006 with the following information or fill out the form at the bottom of the page.
- Physician’s name and office phone number
- Office Address
- Patient’s Name
- Patient Demographic
- Reason for referral
- Patient’s Insurance information
- Any relevant labs/progress notes for this visit
Accepted Insurances
Our clinic accepts a wide range of insurance plans from most leading providers, including Medicare/Medicaid. We’ve got you covered.
Amerigroup
Amerivantage
Blue Cross Blue Shield of Texas
Care N Care Medicare Advantage
CareWorks
ChoiceCare
Cigna
Cook Children’s Health Plan
Corvel
Galaxy HealthCare
HealthSmart
Molina
Multiplan
Oscar Insurance Company of Texas EPO
Prime Health Services
Provider Select
Scott & White Healthplan (All Products)
Superior HealthPlan
*Call (817) 380-3201 to ask about self-pay options
Online Patient Referral form:
Thank you for your kind referral!
