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

info@fibroidfree.com
214-838-6440

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:

1

Coordinate her first visit

2

Verify insurance coverage or discuss payment options

3

Order an MRI, if necessary

4

Provide pre-procedure instructions

5

Schedule her procedure

6

Set up a post-procedure follow-up

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