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Patient Referrals

Thank you for choosing to refer your patient to dots wellness. 

Please fill out the form below. We will contact your patient and follow up with you as quickly as we can. Our goal is to respond in less than 24 hours.

Patient Referral

Contact our office at 469-430-9955 if you have questions or need assistance.

PATIENT INFORMATION

PRACTICE INFORMATION

Thank you for the referral! We will contact your patient and follow up with you in less than 24 hours.

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