Refer a Patient

Physician Referral Process
To refer a patient, please call us toll-free at
1-877-988-3627 or email us at This e-mail address is being protected from spambots. You need JavaScript enabled to view it .

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

Please fax the following patient information to either (901) 722-0570 or (662) 349-2839:

• 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) 722-0622.

For more information, call 901.722.DOCS.