Procedure for referring Patient
- Please determine what study is needed.
- Please download and fill up the referral form below with the insurance information.
- Fax the form to our office at 847-855-8990.
- Our office will contact the patient and your office to confirm the date of appointment.
- Please mention on the form if study will be read by the doctor themselves.
Once you fax the order, our office will confirm patient eligibility and call your office and the patient. Patient will be responsible for all the copay and the deductibles.