Please advise your patients to inform us of your referral at the time of their visit. We do our best to promptly send a report of the patient's consultation to their referring physician, upon request. If referral authorization is needed from a Primary Care Provider (PCP), this referral must be obtained prior to the patient's visit. Please print and complete the form below. Bring it with you to our office or fax it to 337-534-4492.