Refer a Patient—For physicians
What is required for a complete referral to 梦三国2 ’s pulmonary rehabilitation program?
Where can I find the physician clearance form to sign?
Click here to download a referral form
Physician referral / Physician clearance form
Most recent H&P and other pertinent medical information
Recent EKG within 6 months
Recent PFT within 2 years
, please sign and fax to: 603.665.2449.
You can call also call:
and the Pulmonary Fitness team will facilitate.