New Patient Referral

Please print out this form and include any pertinent information you would like Dr Subedar to be aware of, look at, or consult on. You may fax the completed form to one of the following fax numbers.

Bellingham: 360-527-0110

Mount Vernon: 360-424-9861

Referral slip

Please e-mail all recent x-rays to:

[email protected]