The Carrell Clinic

Referral Form

Please use this secure online form to refer a patient to one of Carrell Clinic’s orthopaedic physicians. To refer a patient by phone, please call our Physician Referral Line at (214) 220 2468. Or click to download a PDF version of our Referral Form to fill out and email to [javascript protected email address] or fax to (469) 232 9738.