Refer a Patient

Physician Referral Process
To refer a patient, please call us toll-free at


Or complete and fax the appointment request form, along with the information requested below.

Please fax the following patient information to (901) 722-0570:

  • Patient History and Physical
  • Operative Report
  • Pathology/Cytology Report
  • Clinic Notes
  • Discharge Summary
  • Current Medication List
  • Insurance Information and Demographic Data

To refer a patient to the Blood & Marrow Transplant Clinic, please call (901) 226-5151.


For more information, call 901.722.DOCS.