Referral Form

At DASH we aim to treat all of our patients with the highest level of care possible. We use advanced and evidence based treatments with all of our patients. We appreciate all referrals and treat them as family. Below you can download a PDF referral form, fill it out, fax it back to us, and we will take care of the rest. We will call the patient with in 24 (business) hours after receiving fax. We appreciate your referrals and look forward to working with you!