Referrals

Healthcare Providers:

For COVID-19 Monoclonal Antibody Referrals, please complete this form and fax it to the office at (570) 794-6124.

For all other patient referrals, please call the office at (570) 794-6123 or fax us medical information at (570) 794-6124.

Patients:

Please return to the Make Appointment page to request an appointment.