Make a Referral
Do you have a patient referral for Primary & Palliative Health Care?
A face sheet, requesting a primary care consult and personal information, will expedite the first visit. If you wish to fax a face sheet with the patient's personal information, please fax it to (281) 559-1188. You can submit the patient's information on the form located below, or contact us. Once you complete this referral form, we will reach out to you for any additional information needed.
Email: pphc@primaryandpalliative.com
A referral can be done by anyone!