Refer a Patient
Three ways to send us a referral. We handle benefits investigation and prior authorization from there, and we keep your office and patients updated throughout.
Secure Upload
Upload a completed referral through our secure portal. This is the preferred route for anything containing patient information.
Open Secure PortalFax
Fax the completed form to the location nearest your patient.
Moss Point, MS
(228) 474-5545
Mobile, AL
(251) 301-9779
Phone
Prefer to talk it through? Call us and we'll take it from there.
Moss Point, MS
(228) 474-4663
Mobile, AL
(251) 460-1010
Alabama, Mississippi, and Florida Referral Forms
Blank forms to complete, then send using one of the routes above.
Louisiana Referral Forms
Use these forms for patients in Louisiana.
This website does not collect or store patient health information.
Please send referrals only through the secure upload, fax, or phone
routes above.