The Anaplastology Clinic, LLC
  • Home
  • About Us
    • Our Clinic's History
    • Staff >
      • Jay McClennen, AOCA, CCA, CFm, Chief Certified Clinical Anaplastologist
      • Sarah Contreras, BS, biology, Clinical Anaplastologist
      • Tammy Mark McClennen, Clinic Director
      • Taffy Jones Practice Manager
      • Carolyn Hicks, Patient Care Coordinator
      • Pug Therapy
  • Facial
    • Auricular (ear)
    • Orbital (eye)
    • Nasal (nose)
    • Other
    • Implant Retained
  • Eyes
    • Oculars
    • Scleral Shells
    • Conformer Therapy
    • Polishing
  • Digit & Limb
    • Upper Limb >
      • Finger
      • Hand
    • Lower Limb >
      • Toe
      • Partial Foot
  • Breast
  • Patients
    • What to Expect
    • New Patient Paperwork
    • The Process
    • Overnight Stays
    • Payment
  • Referring Professionals
  • FAQs
  • Contact Us
    • Map & Directions

Referring Professionals

Rx & Referral Form
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We enjoy collaborating with other members of the rehabilitation team
Provider referrals can be easily made to us via fax or a call to our clinic.  We look forward to providing care to your patients and can work with your practice to create the best referral system that meets your needs.

Consultations are performed at no charge
During our free consultation, we get to know each patient and perform a detailed clinical assessment for the proposed prescribed item.  For insurance plans requiring prior authorization and for workers' compensation approval, a detailed clinical assessment, treatment plan, and cost estimate are provided for review.    

Refer a patient to The Anaplastology Clinic
Provider referrals can easily be sent to us via fax or a call to our clinic. We look forward to providing care to your patients and will work with your practice to create the best referral system that meets your needs.


Please click here to view and print a prescription and patient referral form for faxing. 


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