Self-Scheduling by Patient

Give patient a written prescription with your consultation reason and have them call to schedule an appointment at 859-263-2222.

Make an Online Referral

Printable Referral Form

Click here to download a printable version of our Referral Form (PDF)

Fill out printed copy and either give it to your patient to self-schedule an appointment or fax directly to our office at 859-263-0020 and we will contact your patient.

Same Day Acute Referrals

Call 859-263-2222 for a same day appointment time. Our physician will return your call shortly to discuss your patient's case with you, at your request.