Refer A Patient To SPG For Telemedicine Services

To refer a patient for SPG Telemedicine Services and expedite the referral process, please provide the information outlined below.

Required Referral Documentation/Information

  1. Verified Patient Face Sheet or Referral Form
  2. SIGNED Patient Consent Form
  3. Discharge Summary and/or H&P
  4. Updated Medication List

Please submit all referrals and required documentation by email or fax to:

If you have any questions regarding the referral process, please contact us at 480-268-2670

Refer A Patient To SPG For Telemedicine Services

To refer a patient for SPG Telemedicine Services and expedite the referral process, please provide the information outlined below.

Required Referral Documentation/Information

  1. Verified Patient Face Sheet or Referral Form
  2. SIGNED Patient Consent Form
  3. Discharge Summary and/or H&P
  4. Updated Medication List

Please submit all referrals and required documentation by email or fax to:

If you have any questions regarding the referral process, please contact us at 480-268-2670

Contact Us To Learn More

7975 N Hayden Rd., Suite D-354
Scottsdale, AZ 85258
(480) 268-2670
[email protected]

Fax Number: (480) 268-2671

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