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Contact/Refer
PHONE
FAX
Mon–Fri, 9:00 AM–7:00 PM ET
443-367-9698
PHYSICIANS & HEALTHCARE ORGANIZATIONS
Let us help you find the right pathway
Choose the option that best describes your need. A member of the Practistat team will review your inquiry and follow up during business hours.
This form is not monitored for emergencies. Call 911 for severe or life-threatening symptoms.
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Message
Not for emergencies. Call 911 for severe or life-threatening symptoms.
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PRACTISTAT
Secure Clinical Referral
Please do not submit patient names, diagnoses, or other clinical information through this website — general web forms are not an appropriate or secure channel for protected health information (PHI).
To make a clinical referral for a specific patient, please use one of the following instead:
Call
Secure Fax
443-367-9698
A team member can also arrange a secure portal or approved electronic method for sending records once a referral is initiated by phone or fax.
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