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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)