Referring Physicians

Referring a Patient to San Tan Cardiovascular Center

San Tan Cardiovascular Center welcomes the opportunity to partner with you in patient care. We place high value on the relationships we have with our referring physicians and work with you to support your role as the patient’s primary physician and ours as a healthcare consultant.

We will work with your patient to complete the registration process and schedule an appointment at the patient’s convenience. Clear and prompt communication with our referring physicians is extremely important to us. You will be notified once the appointment is scheduled.

If you wish to refer a patient to Dr. Yilma, we offer several options:

  • complete our on-line referral form,
  • download and complete the PDF version of our referral form and fax it to (480) 632-1574,
  • or, if you use eClinical Works as your electronic health record (EHR), please use the P2P feature.

In addition to sending us a referral through this form, please make sure to complete all proper referral requirements per the patient’s insurance policy. Please complete referral request to insurance, particularly Optum UHC, Tricare and Aetna through their insurance websites. Please include all pertinent medical records and documents with referral documents.

If you have any questions or need additional information, please call (480) 632-1577.

Referral Form

  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY

 

Referral & Patient Record Forms

Referral Form Patient Records Release Patient Records Request