Go2Dr™ Healthcare Provider Referral Form

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TEXAN ALLERGY & SINUS CENTER

  • Phone: (512) 550-1800
  • Toll-free: (855) 845-7777
  • New patient fax: (877) 891-0383
  • texanallergy.com

PATIENT INFORMATION

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Preferred Location/Office

ALLERGY & SINUS SERVICES

DIAGNOSIS CODE

Please note:

  • Most HMO Plans require a referral

NEW PATIENT FAX LINE: (877) 891-0383

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