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Hematology & Oncology Evaluations

Thank you for choosing Dothan Hematology & Oncology for the referral of your patient.

As an independent practice, we are committed to doing what’s best for your patients and their cancer care. Our physicians understand the individual needs of each patient and work closely with our entire staff to coordinate the appropriate active treatment for their oncology, hematology, and infusion needs. Additionally, we offer second opinions to ensure the best possible care for your patients.


Simple Ways to Submit a Referral:

Simple Ways to Submit a Referral:

infusion care

Fill & Send Form

Referring physicians, please click the button below to fill out the referral form and submit an online appointment request instantly. To complete the scheduling process, you will need to upload/send the following pertinent documentation: demographics, insurance information, notes from the last office visit, and any relevant test and scan results.

Print & Fax Form

Referrals can be made by faxing a referral form (click on the form below) to 334-625-6559. Alternatively, referrals can be made from EMR to EMR systems via a safe transmission through the Health Information Exchange Direct Email Address:

For timely scheduling, please include the following:

  • Patient demographics
  • Copy of insurance cards
  • Relevant insurance authorization
  • History & physical
  • Last office visit notes
  • Any corresponding labs, scans, and pathology reports

We accept most major health plans and verify insurance coverage. Upon receipt of the referral, we will schedule the patient quickly. Once all necessary documentation is received, we will contact the patient to schedule the appointment and send you correspondence regarding the appointment details. For STAT appointments, please call our new patient coordinator, Darby, at 334-712-9052.