Information for Referring Providers

Please submit the following information to expedite the scheduling process:
- Patient’s demographic information including complete name, date of birth, mailing address and telephone numbers.
- Insurance information and copy of insurance cards.
- Reason for referral
- Referring physician information
- Medical records including progress notes, medication list and recent studies. If applicable, imaging studies, laboratory data, sleep studies, pulmonary function tests, and pathology reports.
Fax this information to 352-237-2488.
If this is an urgent referral, please contact us directly at 352-237-2826.