The easiest way to refer a patient for a Manipulation Under Anesthesia consult or procedure is to contact us to discuss your case.
Additionally, the attached referral form can also be printed out and faxed to our offices. Once received, we will call you to discuss the case, schedule a consult, and procedure options.
Our office can also call the patient to schedule the consult, making the whole process simple for you and your staff.
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(Microsoft Word Format)
Please fax form to: (925) 275-9390 or (800) 950-1521
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