Urgent Referrals

For urgent referrals, we require a phone call to 701-293-9829, option 2 for triage and scheduling.  We ask that you review our Phone Call Screening Information for Urgent Referrals form and have all the necessary information available when calling to make the referral.  If the patient needs to be seen within 24 hours of the referral phone call, the patient must be present in your office when the referral call is made.

Routine (Non-Urgent) Referrals

To make a routine referral, please complete the Routine Referral Form.  Fax the completed form and required information below to our referral fax number at 701-205-3460 (please note, our referral fax number is different from our main fax number).  Our clinical specialists will contact your patient within four business days to schedule an appointment.  Once we contact your patient, we will fax a referral update form back to your office with appointment information.

Required information for routine referrals:

• Patient demographics including patient name, DOB, address, phone number, medical insurance company, and medical insurance identification numbers.

• Referral office notes.

For up-to-date insurance information, please refer to this page.