How to Submit a Referral
- Online – use our secure online submission form below. You will receive a completed copy of your referral form when finished.
- Email – Download and complete a referral form, save to your computer. Email the .pdf form to firstname.lastname@example.org.
- Fax/Mail – Download and print a referral form. Complete the referral form and either fax to 404.378.2394, or mail to 120 East Trinity Place, Decatur, GA 30030.
- Call – 404.378.2300 and press 5 for Referrals. Our referral agent will take basic information. Please have the insurance number, date of birth, and social security number for referred individual.
We contact all referred individuals within 48 hours to schedule an appointment.