DOCTOR REFERRAL FORM

Thank you for visiting our web site. It’s our goal to create a lasting and mutually beneficial relationship with our referring doctors. To help facilitate the referral relationship, we have installed a convenient referral form that can be filled out and sent along with any digital x-rays. Simply click on the link below to be connected to our secure form server.

[thrive_link color=’#9c1a20′ link=’https://www.mypbhs.com/truform/PdfToHtml/TruFormHTML.aspx?form=bolding/MSC2/ref/referralsb.pdf’ target=’_blank’ size=’medium’ align=”]Online Referral Form[/thrive_link]