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| Online: |
You may submit a referral utilizing M. D. Anderson Cancer Center's HIPAA compliant web portal myMDAnderson for Physicians. To register, visit https://my.mdanderson.org. |
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| Phone: |
(800) 392-1611 option 1
Clinically trained staff are available Monday - Friday,
8 a.m. to 5 p.m. CST |
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The following information will be gathered at the time of referral:
Patient Information
- Name
- Address
- Date of birth
- Telephone number
Clinical Information
- Diagnosis
- Date of the diagnosis
- How the diagnosis was made (physical examination, biopsy, other)
- What treatment the patient has undergone to date
- When this treatment was administered and completed
- Patient's current condition
Insurance Information
- Patient's insurance information
Referring Physician Information
- Referring physician's name, office address, telephone number, and fax number
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