Refer a Patient
Referrals Made Easy
We do our best to make patient referrals to a dermatologist fast, simple, and transparent. Referrals can be made by phone, fax, or using our online form
Fax: 515.257.6977
Send a referral to our fax line. Be sure to include patient demographics, the reason for the referral, relevant medical records, and any necessary insurance authorizations.
Phone: 515.217.4807
We'll work diligently to make the transition of care simple. Please be sure to provide the patient name, DOB, insurance information, referring physician, and the best time to book.
Online
Use our online form to make a referral online. Include all requested information to insure a smooth process for you and your patient.
Paper Form - CLICK HERE TO DOWNLOAD
Download our paper form and fax or mail. Include all requested information to insure a smooth process for you and your patient.