On-line Referral form

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Thank you for considering IOH for your referral needs. Please let us know how we can be of assistance.

Fill out the form or download the PDF by clicking the button below.

Fax or email with face sheet/PR-2/Reports/Approval letter to (800) 680-3626

Email lindav@institutesofhealth.org Phone (800) 270-5016
Our Doctors: Dr. Clark Smith, Dr. Marcia Elfenbaum, Dr. Tomer Anbar, Dr. Kimberely Tilley, Dr. Tina Wolfe, Dr. Megan Johnson, Dr. Alexis Olson, Dr. Sandra Martinez, Dr. George Dabdoub

Other Providers: Dr. Shelby Moreira, Dr. Krystle Frazier-Philo, Dr. Lisandra Herrera, Dr. Alan Acre, Dr. Vianney Luis-Quero, Dr. Katherine Turner, Dr. Catherine Vogl