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Referrals

Doctor Referrals


If your insurance requires a referral for a specialist please request the referral after your appointment has been scheduled with the specialist.  To request a referral please email us at referrals@balafamilypractice.com. Please be sure to provide all the necessary information that includes:

  • First and Last name
  • Date of Birth
  • Email address/Contact Number
  • First and Last name of the specialist
  • Address of the specialist
  • Date and Time of the appointment
  • Reason for the appointment
  • Phone number and Fax number of the specialist

Please allow up to two business days for the referral to be complete.  If you would like a hard copy please be sure to include that in the request and you may pick up the referral at the front desk once the referral has been completed. If you need further assistance please contact the office.