Referral Form for Referring Physicians

Referral Form:

At the Texas Institute of Dermatololgy San Antonio/Boerne Clinic we understand that timely treatment is a leading factor for better patient outcomes.  For this reason, we offer a scheduling guarantee for all patients referred to us from a doctor’s office using referral form provided.  This guarantee ensures that all patients who are referred from a physician’s office will be seen within 72 hours of the referral.

 

For your convenience, we have created the following referral form.  Click here to print it out and either fax it to (210) 547-7913, send the completed form with the patient or scan it and email it to info@txid.org.

 

Referring Physicians Texas Institute of Dermatology