Doctor’s Referral Form

Bismarck – Download Our Patient Referral Form

Minot – Download Our Patient Referral Form

Fargo – Download Our Patient Referral Form

Grand Forks – Download Our Patient Referral Form

Bismarck

Fax: 701-222-2329

Minot

Fax: 701-838-1842

Fargo

Fax: 701-239-0034

Grand Forks

Fax: 701-775-4530


To send a referral to us via email, please use the following link to access our secure message portal:

Click Here – Secure Message Portal