Refer a Patient

Let’s Work Together

Patient Concierge Services

The Fibroid Institute Dallas patient concierge team delivers high-touch service to all women who walk through our doors, managing the non-medical needs of your patients so you can focus on providing care.

Questions? Get in touch

Thank you for your trust in us to care for your patients.

Please complete the form below to refer a patient to our physicians. You may also fill out the PDF version instead.

  • Drop files here or
    Accepted file types: pdf, jpg, gif, png, zip.
    For multiple files, please put them in one folder and zip the folder. Then upload the zip file. The maximum file size is 2 MB.
  • This field is for validation purposes and should be left unchanged.
How does it work?

Once we receive your referral form, we will contact your patient to:


Coordinate her first visit


Verify insurance coverage or discuss payment options


Order an MRI, if necessary


Provide pre-procedure instructions


Schedule her procedure


Set up a post-procedure follow-up

Scroll to Top