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Dear Healthcare Providers:

If you would like to refer a patient to be considered for a Rheumatology appointment in our clinic, please complete the New Patient Referral Form and fax it to (336) 716-9821 along with the patient’s last two – three clinic notes and a copy of their insurance information.

After our physician has reviewed the information above, one of our office staff will contact you.

If you have any questions, please contact our office at (336) 716-4209.

Thank you for your referral.

Rheumatology Physicians
Department of Internal Medicine
Section on Rheumatology & Immunology

New Patient Referral Form

 

Copyright: Wake Forest University School of Medicine and North Carolina Baptist Hospitals. All rights reserved.

Medical Center Boulevard

Winston-Salem, NC 27157

The information on this Website is for general informational purposes only and SHOULD NOT be relied upon as a substitute for sound professional medical advice, evaluation or care from your physician or other qualified healthcare provider. If you have a medical problem or a health-related question, consult your physician or call Health On-Call at 336-716-2255 or 1-800-446-2255.

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Last Modified: 8/26/2008