fbpx
  • Home
  • Patient Care
  • Refer a Patient
Patient Referral Form

Please use this form to refer a patient from your practice to Sonoran Spine. Complete all of the information requested in the form below. Please note that the asterisk (*) items are required to complete your referral request. Once your referral has been submitted, we will contact the patient within 24 hours (Monday – Friday) to schedule an appointment.

Referring a patient for a work related injury? Use our Workers’ Compensation Appointment Form.

We look forward to continuing to provide the expert care you have come to expect from Sonoran Spine.

Referring Physician Office Information
Patient Information
Medical Information

Please note that not all providers are available at every location. We will follow up with patients regarding their provider and location preferences.

Top Doc Awards

Gilbert *Updated Address*
3717 S. Rome St, Ste 106, Gilbert, AZ 85297

Glendale 
5681 W. Beverly Ln, Ste 101, Glendale, AZ 85306

North Phoenix
33300 N 32nd Ave, Ste 205, Phoenix, AZ 85085

North Scottsdale (Thompson Peak) *Updated Address* 
20745 N. Scottsdale Rd, Suite 105, Scottsdale, AZ 85255

Queen Creek
37200 N. Gantzel Rd., Ste 240, Queen Creek, Arizona 85140

Scottsdale (Osborn) *New Location*
7242 E. Osborn Rd Suite 230, Scottsdale, AZ 85251

Scottsdale (Shea) 
9700 N. 91st St, Ste B108, Scottsdale, AZ 85258

Show Low 
4830 Hwy 260, Suite 103, Lakeside, AZ 859291

Sonoran Spine in Collaboration with Honor Health Tempe 
1255 W Rio Salado Pkwy, Ste 107, Tempe, AZ 85281