To Our Referring Doctors,
For your convenience, we have provided an Online Referral Form
Provide as much information that you feel is necessary. The form does not need to be filled out completely.
Thank you for the referral.
Dr. Payne & Staff
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Online Referral Form
You may refer patients to our office by filling out our secure online Referral Form. After you have completed the form, please make sure to press the Complete and Send button at the bottom to send us your information automatically. The security and privacy of patient data are our primary concerns, and we have taken every precaution to protect it.
