Physician Referrals
Physician Referral
Printable Referral
General Survey
Find Your Surgeon
Referral Form
Printable Form
General Survey
Find Surgeon
Referring physicians
Referring to The Surgical Clinic (TSC) ensures your patient receives exceptional surgical care and access to the most technologically advanced surgical practice in Middle Tennessee.
Thank you for choosing The Surgical Clinic. We appreciate your referral & want to make your process as seamless as possible. Please select your type of referral form, print & send via fax or fill out the referral form below.
Referral Forms to Print + Fax
Referring Physicians
First and foremost, thank you!
The surgeons and office staff of The Surgical Clinic in Tennessee are committed to providing responsive communications and information to you, as a referring physician, as rapidly and as frequently as you would like to receive it. We are very aware of the trust you place in us as you refer patients for surgical procedures. The entire team of The Surgical Clinic strives to provide every patient with the type care focused on returning them to their lives as quickly as possible.
We know that getting timely information to you is important as you make continuing decisions about your patient. We want to make certain that you have as much information as you would like in order to prepare to take over as we discharge your patients back into your care. And we want to makes certain that you receive the information at the stages in the process that you direct.
To help us to ensure that you are receiving reports from us in the way you want, please take a moment to complete the New Patient Referral Form and return it to our offices. This will allow you to provide specific instructions to our offices. You will be able to provide instructions about whether you would like transmittals prior to procedures, after they are completed, or as we discharge the patient back into your practice. We are also happy to provide additional communications if there are other planning tools or information you want to receive.
We also invite you to contact us to discuss the referral process or ways that The Surgical Clinic physicians and staff can better work with your practice. You are welcome to contact the surgeon directly, or your office staff may want to communicate directly with either our Liaison or our Clinical Director in our central business office. The main number is: 615.292.5722.