Thank you for referring your patient to the John B. Amos Cancer Center.
An appointment will be made as quickly as possible, and notification will be sent to the patient as well as to your office. If you have any questions during the process, please feel free to contact a Scheduling Services representative from the following clinics:
Medical Oncology (706- 320-8700), dial option 4
Gynecologic Oncology (706- 320-8700), dial option 6
Radiation Oncology (706- 320-8700), dial option 5
Physician Referral forms:
New Patient Referral Fax
Please complete and fax back to our office. Please allow our staff to review and verify information before proceeding.
New Patient Referral Fax– Clinical Information
Your patient’s insurance has been verified and/or your patient has been referred to a financial advisor at the John B. Amos Cancer Center. Clinical information on this form is required and must be received for an appointment to be scheduled.
Again, thank you for referring your patient to the John B. Amos Cancer Center. We appreciate your confidence and cooperation, and we commit to you our highest quality of care for your patient.