Referral Form

Refer a patient to The Kidney Experts

We make the referral process simple for offices, hospitals, and care teams. Complete the form below and send supporting clinical records so our staff can coordinate next steps quickly.

Fax Records

Send supporting documents

Fax referral records and supporting clinical information to 731-300-6955. Complete information helps our team review the referral and coordinate care promptly.

Urgent Referrals

Call our main line

For urgent referrals, please call (731) 300-6155 in addition to sending records. This helps us route the request appropriately.

Scheduling

Prompt review

Our staff reviews referrals as promptly as possible and contacts the patient or referring office to coordinate scheduling and next steps.

Referral process

Please include enough information for our team to identify the patient, understand the kidney concern, and contact the right person for scheduling.

1 Complete the referral form with patient demographics, insurance information, contact details, and the clinical reason for referral.
2 Fax recent labs, including eGFR and creatinine when available, medication lists, and pertinent notes to 731-300-6955.
3 Our team reviews the referral promptly, contacts the patient or referring office when needed, and coordinates scheduling.
4 If the referral is urgent, please call our office at (731) 300-6155.

What to include

Patient demographics and best contact number
Insurance information and referral authorization details, if needed
Recent labs, including eGFR and creatinine when available
Current medication list
Reason for referral and relevant clinical notes

Important: Please do not include unnecessary PHI beyond what is needed for referral review and scheduling. For urgent referrals, call (731) 300-6155 after sending records.