Thank you for your consideration in referring your patients to NDBC. Referring a patient to NDBC is very easy. Simply follow the steps outlined below. Should you have questions about referring your patients to NDBC, or if we can be of help in any way, please don’t hesitate to call us with all your questions at 952-345-3000.
QUICK NUMBERS:
Patient Scheduling: (952) 345-3000
Patient Orders Fax: (952) 345-6789
FOLLOW THESE QUICK & EASY STEPS TO REFER A PATIENT
STEP 1
Please fill out the top portion of the order form with the patient’s insurance and contact information, have the physician sign and date, and send it our way! Once the order is received, we take care of all the insurance verification in our billing department, and also call the patient to schedule their appointment.
To access our referral forms, CLICK HERE.
STEP 2
Fax the required patient referral form:
Bloomington – (952) 345-6789
Blaine – (952) 345-6789
Woodbury – (952) 345-6789
Burnsville – (952) 345-6789
STEP 3
Give referral form to patient so they can use the map to find NDBC, or print one from our website.
We also have an INFORMATIONAL PORTAL which contains all the most important information in one place. Have your patient scan the code, or use the link below, and they can add us directly into their phone contacts in one click!
- https://www.flowcode.com/page/ndbc
- Clinic contact information
- Directions to clinics
- Instructions for appointments
- Telehealth instructions
- Share with friends and family
- and more…
Information Requested for Referred Patients – *But not required for referral*
- Referral form, items completed: (required)
- Patient demographic & insurance information
- Type of service requested
- Diagnosis or reason for referral
- Referring physician name, clinic, & signature
- Relevant history and physical information if available
- Most recent therapy notes if available
- Most recent progress notes if available
- Medication list