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GynJess
For providers

Refer a patient, simply

Tell us who you're sending and why. We'll reach out to your patient directly and keep you in the loop.

Preferred
Use the secure form below

Choose "Someone else" under who would be receiving care. It arrives securely and drops your patient straight into our records.

Or fax
(877) 644-4599

For your own referral form, chart notes, or imaging.

Secure form Open the referral form Choose "Someone else" under who would be receiving care. Open secure form

Please send records, imaging, or anything containing detailed health information by fax.