Patient Referral Form

Please fill in the patient or referral information and our wound care specialist will reach out to you within the next hour.*

Need help with the referral process? We're here to guide you.

Phone: 940-489-2201

Email: [email protected]

Prefer to fax your referral?

Click the button below to download our referral form!

Office Hours:

Mon - Fri: 8am-5pm CST

Address

Street Address *

City *

State *

Country

Postal code *

Frequently Asked Questions

Will you talk with my doctor?

Absolutely. We coordinate with your primary care doctor, specialists, or home health team as needed. Communication is key to effective wound care.

What type of wounds do you treat?

- Pressure Ulcers (Bedsores)

- Diabetic Foot Ulcers

- Venous Ulcers

- Arterial Ulcers

- Traumatic Wounds

- Surgical Wounds

- Infected Wounds

- Burns

- Chronic Wounds

- Trauma-Related Ulcers or Lacerations

How do I make an appointment?

Click on ”Book Appointment” and submit your details, then one of our chronic wound care technicians will contact you right away for next steps.

Is mobile wound care as good as in-clinic care?

Yes! In fact, many patients heal better at home thanks to personalized attention, less stress, and reduced risk of hospital-acquired infections. We bring the same expertise and advanced treatments you’d get in a clinic.

How often will you visit?

Each patient receives a customized care schedule based on their condition. We collaborate with you and your healthcare team to promote effective healing.