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How to Obtain a Referral
Referral Instructions
Call: (407) 647-5008, and Dial 1
then...
Fax: (407) 647-55299, and send our Referral Form
or
Patient's Fact Sheet
and
Physician Order
Click here to download our physician referral form in PDF format
Once the PDF form is opened, fill it out entirely, then print.
Fax the printed copy to us.
Call for More Information!
Nirvana Health Services, Inc.
In Winter Park
(407) 647-5008 /
Leesburg (352) 314-8844
info@nirvanahealthservices.com