For the convenience of your patient, your office can send us the referral form electronically. Because privacy is critical, this form is sent using a secure server that is also HIPAA compliant. If you prefer, you may print the form and fax it to our office or give it to the patient to bring with them.


Referral Form: Traverse City Office
Online Health History Form Referral Form: Traverse City (print or submit online)


Referral Form: Gaylord Office
Online Health History Form Referral Form: Gaylord (print or submit online)