Referral FAQ’s

1. How do I get a referral?

We ask that you call your doctor before going to see a specialist.

A referral should be discussed with your PCP at the time of your visit. You may not be aware that your provider has the knowledge and skill to diagnose and treat your condition.

You will be referred to a specialist when you require care that your Primary Care Physician or “Team” member  cannot provide.

If we do refer you to a specialist, we would like you to be aware that our Physicians have agreements in place with specialists who provide the most cost effective and highest quality of care in our area. We are able to provide them with the pertinent medical information they will need to treat you without duplication of testing. They will also communicate with your primary care physician so we are up-to-date with your progress.

To request a referral, patients are encouraged to use our online Referral Request.  You may also call the office to request one.

2. Why do I need a referral to see a specialist?

Most insurance companies require that you obtain a referral from your primary care doctor prior to seeing a specialist.  More often than not, these conditions can be evaluated and treated by your family physician and do not require a referral to a specialist.  It is important that you are aware of your insurance company’s policy regarding referrals and that you callin advance of your appointment to obtain one.  After reviewing your request, you will be notified within 3 business days if there are any problems processing your request.

3. The specialist I would like to see is “out-of-network”, how can I get a referral?

You must call prior to scheduling an appointment with a specialist that does not participate with your insurance plan.  Your physician may ask that you come in to discuss the need for a referral.  Generally, it takes several days to receive a response from most insurance companies.  When placing your request, please be sure to have the following information:

  • Specialist’s name and address
  • Phone and fax number
  • Tax ID number