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REFERRALS/ORDERS

REFERRALS & PATIENT ORDERS

Upload:
1. Click on the “Referral Form Upload” upload button.
2. Complete all required information
3. E-sign the form
4. Click on the Submit Button (This form and process is HIPPA compliant and encrypted)
5. A confirmation email will be sent to the Office Contact Email

Download and Fax:
1. Click on the “Referral Form Download & Fax” upload button.
2. Complete the fillable PDF with all required information
3. Sign the form
4. FAX to (210) 469-4026 (This FAX # and process is HIPPA compliant)
5. If you prefer to email, send to mw@admtsolutions.com
6. We will send a confirmation email to the Office Contact Email

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