Refer a Patient
Submit a secure referral and we'll coordinate the rest
Secure Referral Form
Physician, facility staff, or family member?
This form works for everyone. If you are a family member, just leave the facility name blank and call us at (954) 406-6642 if you have any questions — we'll guide you.
Privacy: Do not include patient names, date of birth, MRN, or any protected health information (PHI). Use initials only.
Contact Information
Phone
(954) 406-6642
(786) 200-7553
referrals@specialistconsultationnetwork.com
Service Area
Miami-Dade, Broward, Palm Beach, Orlando & Tampa Bay
Response Time
Typically 48–72 hours
What Happens Next?
- 1.We'll review your referral within 24 hours
- 2.Our team will contact you to schedule
- 3.We'll visit on-site at the scheduled time
- 4.Complete notes sent to care team