referring a patient to an ndbc clinic

Thank you for your consideration in referring your patients to NDBC. Referring a patient to NDBC is very easy. Simply follow the steps outlinned 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.


Follow these quick and easy steps to refer a patient to NDBC.

STEP 1:
Please fill out the top portion of the order form with the patient's insurance and contact information, have the physician sign an date, and send it our way! Once the order is sent, we take care of all the insurance verification in our billing department, and also call the patient to schedule their appointment. No fuss for you!

STEP 2:
Fax the required patient referral form to the appropriate NDBC clinic:

To access our referral forms, click here.

Edina - (952) 345-6789
Coon Rapids - (763) 786-6901
Inver Grove Heights - (651) 554-7669

STEP 3:
Give referral form to patient so they can use the map to find NDBC, or print one from our website.



Information Requested for Referred Patients - *But not required for referral*

1. Referral form, items completed: (required)
aaaa. Patient demographic & insurance information
aaab. Type of service requested
aaac. Diagnosis or reason for referral
aaad. Referring physician name, clinic, & signature

2. Relevant history and physical information if available
3. Most recent therapy notes if available
4. Most recent progress notes if available
5. Medication list