I appreciate the referrals that come to me from private health care clinicians and are honored that you trust me with your patient’s care. My staff and I will work diligently to create timely appointments and give the highest level of care available.

We will send your office a full patient report once the initial evaluation has been completed and keep your office abreast of any scheduled surgeries or procedures for your patient.

In order to facilitate patient care and timely appointments, please download this form and fax it to my office for immediate attention.

By sending this fax referral to my office, you certifiy that you have contacted your patient and they have agreed that we may contact them directly to facilitate a timely appointment.

Download Patient Referral Form

E-mail – Physicians Only

You may also email Dr. Witsell with a general question or comment (not to be used for patient specific information).

referral@davidwitsellmd.com