To refer a patient for an appointment, please complete the form below and your patient will be contacted for scheduling. Fax referral forms may be sent to 303.270.2162.
You may also contact our Physician Line at 1.800.652.9555, Monday - Friday, 8:00 am to 5:00 pm Mountain Time or firstname.lastname@example.org.
For mycobacterial disease referrals, complete the Mycobacterial Referral/Consult form.
Other resources: Order a test | General Physician Consults | Mycobacterial Referral/Consult
If yes, please select:
DX and Brief history
Please include something in addition to the ICD9 code)
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