Downloadable Forms

• Referring physician information form – Fax to 254-215-9274
• Referral form for Temple – Fax to 877-724-7560
• Referral form for University Medical Campus, Round Rock – Fax to 512-509-0333
• Referral form for College Station Clinic – Fax to 979-691-3487
• Secure E-mail Acceptance Form – Fax to 254-724-8422
• PACS Authorization – Fax to 254-724-6664

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