Physician Referral Form

Streamline the way your practice or medical center handles physician referral requests from patients. The online physician referral form template from Formsite is the ideal solution for group practices or primary care physicians who handle a lot of incoming physician referral requests.

The convenient online form allows patients to submit their physician referral requests online, streamlining the referral process and increasing efficiency for medical professionals and their administrative staff. By taking forms online, you free up more scheduling time for patient appointments related to medical care instead of paperwork.

Use our prebuilt referral form template or customize the form based on your physician referral service. Patients can submit contact information and phone number, along with other necessary information such as the name of their referring physician, and the medical services or specialty care they are requesting a referral for. HIPAA compliant forms are available, along with useful notifications to alert staff that a new request has come in.