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To Our Referring Doctors,

For your convenience, we have provided our referral form below.  Please feel free to print and fax this form to our office, or have the patient bring the completed form with them to their visit at our office. You can also email the information to us at info@hdendo.com.  We can send the post-op reports with images to you electronically if you would like, also.

Doctor Referral Form 



If you or your staff have any problems getting these files to print properly, please call our office and we will gladly assist you!  

Thank you, we greatly appreciate your referrals!

 

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