Downloadable Forms

• Referring physician information form – Fax to 254-215-9609
• Referral form for Temple – Fax to 877-724-7560
• Referral form for Scott & White Healthcare - Round Rock – Fax to 512-218-6330
• Referral form for College Station Clinic – Fax to 979-691-3487
• Secure E-mail Acceptance Form – Fax to 254-724-8422 (Attn: Physician Relations)
• PACS Authorization – Fax to 254-724-8422 (Attn: Physician Relations)
• Radiology Scheduling Form for Round Rock