Referrals

Our goal at Frederick Health is to provide easy access for providers seeking to refer a patient to one of our specialists. We understand the importance of this collaboration and look forward to partnering with physicians throughout the community to ensure effective and timely communications for our patients.

To make a referral, please call 240-566-4ONC
Monday through Friday, 8 a.m. to 5 p.m.

Fax Your Referral Information

Please fax to 240-566-7790 and include the following patient information:

First and Last Name
Date of birth
Telephone number
Address
Copy of Insurance Card (Front & Back)
Last Office Visit/Progress Note
History & Physical (H&P)
Recent Labs
Pathology Reports
MRI, PET, and/or CT Scans
Rx Script with Primary/Secondary Diagnoses and Corresponding ICD-10 Codes
Any notes regarding current condition or relevant to patient’s reason for visit

Referring Physician Information:

First and Last Name
Office address
Telephone number
Fax number
Preferred contact method (email, cell, phone)