Refer a Patient


Let’s Work Together

Refer a patient for fibroid treatment with UFE. Our Fibroid Institute Texas patient concierge team delivers high-touch service to all women who walk through our doors, managing the non-medical needs of your patients so you can focus on providing care.

Collaborating with our specialists is not only good for your patients, it is good for your practice: Easy referral process, high success rate, keep your patients.

Questions? Get in touch

info@fibroidfree.com
Dallas 214-838-6440
Houston 713-903-3733

Thank you for your trust in us to care for your patients.

Please complete the form below to refer a patient for fibroid treatment with UFE. You may also fill out the PDF version instead.

Download Dallas PDF Here
Download Houston PDF Here
  • Drop files here or
    Accepted file types: pdf, jpg, gif, png, zip, Max. file size: 2 MB, Max. files: 5.
      For multiple files, please put them in one folder and zip the folder. Then upload the zip file. The maximum file size is 2 MB.
    • This field is for validation purposes and should be left unchanged.
    How does it work?
    We will contact your patient to:
    • Coordinate her first visit
    • Verify insurance coverage or discuss payment options
    • Order an MRI, if necessary
    • Provide pre-procedure instructions
    • Schedule her procedure
    • Set up a post-procedure follow-up

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