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🏥 Healthcare Referral Workflow

Send Specialist Referrals by Fax

Fill in the form — we generate a professional referral letter and fax it directly to the specialist. For physicians, clinics, and care coordinators.

✓ Instant fax delivery✓ Certified receipt✓ Urgency flagging
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Step 1

Fill out the referral

Enter your practice info, patient demographics, and the clinical reason for the referral. We generate a professional referral letter.

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Step 2

We fax it instantly

Your referral is faxed directly to the specialist's office — no printing, no manual dialing, no hold music.

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Step 3

Track delivery

Get a real-time fax delivery confirmation with a certified receipt for your records.

Sign in to submit

Create a free account to submit referrals, track fax delivery, and save drafts across sessions.

Sign in →Create free account

You can fill in the form below — sign in before submitting.

Submission checklist

○Referring provider name
○Patient name & date of birth (MM/DD/YYYY)
○Specialist name, specialty & fax number
○Reason for referral & urgency
○Attestation confirmed

0 of 5 checks complete

Healthcare Referral

1. Referring Provider

2. Patient Information

3. Receiving Specialist

4. Referral Details

5. Attestation

Sign in to submit →

0 of 5 checks complete — fill in required fields above

Who uses this

  • 🩺Primary care physicians sending to specialists
  • 🏥Urgent care clinics and hospitalists
  • 👩‍⚕️Nurse practitioners and care coordinators
  • 🏢Multi-provider practices needing audit trails

What you get

  • 📄Professional referral letter with urgency indicator
  • 📠Instant fax to specialist office
  • ✅Fax delivery confirmation & certified receipt
  • 📁History dashboard for your team
Tip: For emergent referrals, always follow up with a phone call. Fax is the record — the phone call ensures they act immediately.

Frequently Asked Questions

Who can use this?

Any referring provider — primary care physicians, urgent care clinics, hospitalists, nurse practitioners, and care coordinators. You don't need a dedicated fax machine.

What does the referral letter include?

The letter includes your practice name and contact info, patient demographics, the specialty and receiving provider, reason for referral, urgency level, ICD-10 codes, and clinical notes. You can preview before sending.

How do I find the specialist's fax number?

Use the built-in NPI lookup in the form — search by specialist or practice name and we pull the fax number directly from the CMS NPI Registry. If a provider isn't listed, most offices publish their referral fax on their website, or you can call the front desk.

Can I send referrals in bulk for my practice?

Yes — credit bundles give you the best per-fax rate for high-volume senders. Team accounts let multiple staff members share credits.

Is the referral letter HIPAA-compliant?

FaxSeal transmits via encrypted fax, which is a HIPAA-acceptable method. The referral letter includes all standard clinical referral elements. Your organization remains responsible for its own HIPAA compliance policies.

Sending referrals regularly?

Credit bundles give you the best per-fax rate. Team accounts let your whole practice share credits.

View credit bundles →