Referring Physician

It is a privilege and honor to work with my fellow colleagues around the world.  If you decide to refer a patient to me for advanced surgical procedures, taking care of your patient with professionalism, safety and respect is #1 priority.

Once the procedure is complete and post op appointment fulfilled, it is standard policy to have your patient return to your office for annual check ups, unless otherwise noted.

Please fill out the information below for a confidential answer with No Obligations.

Thank you in advance, for considering me to take care of your patient.

~Devin Garza, MD, FACOG

YOUR NAME:

YOUR E-MAIL:

TELEPHONE:

PATIENT NAME:

PATIENT PHONE

PATIENT DIAGNOSIS:

Would You Like Pre Op Note?

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Would You Like Post Op Note?

Do you want Patient to be Returned to Your Office after Post Op Visit?

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PLEASE DOWNLOAD PATIENT FORMS HERE