Thank you for referring your patient to OSMS and trusting us with their care! We look forward to working with you as we collaborate in providing the highest quality of care to our patients, ensuring they have positive experiences throughout their treatment journey.
Providers looking to refer their patients to OSMS for Orthopedics, Rheumatology, and/or Pain Management please FAX the following information to: 920-593-2986.
- Full Name
- Date of Birth
- Address
- Phone Number
- What Specialty you are referring to: Orthopedics, Rheumatology, or Pain Management
- Reason for Referral (i.e. Left Elbow Pain)
If you are able to, please also provide medical documentation including, office notes and imaging/imaging reports.
Providers looking to refer their patients to OSMS for Imaging (MRI, CT scan, EMG, Ultrasound), please download and fax the following form Radiology Scheduling (details provided on the document).
At OSMS, we provide individualized care tailored to each patients’ unique needs. If you require infusion care and do not see your specific medication listed, please complete our Miscellaneous Infusion Request form. A member of our rheumatology team will contact you within 5 business days to let you know whether we can accommodate your infusion service needs.
In order to efficiently approve and schedule patients, please make sure that the form is filled out correctly and completely and that all required documentation are attached.
