Refer a Patient
To refer a patient, please provide the following documents:
Required Documents and Instructions
Patient demographics (Facesheet)
Referring provider’s office note (including hair loss history and any prior treatments)
Photographs of hair loss area(s) and of donor area (back/sides of scalp)
Fax Number: 504-208-1135
After we receive the referral, the patient will receive a call from one of our schedulers usually within 2-3 business days. The patient does not need to call our office.
If your office uses Nextech or EMA EMRs, a direct message system can be set up for sending referrals.