Referring Providers

Referral Form

Our diverse team of physicians and specialists at Regional Obstetrical Consultants offers a wide variety of services in the areas of Maternal-Fetal Medicine, sonography, ultrasound, and prenatal diagnostics and screenings.

If you are a referring provider, please fill out the form below and fax to our office at 423-826-8098 along with all patient records, demographics, and insurance information.

Referral Form→