Brook Park Physician Referral - Hyperbaric Oxygen Therapy

Note: You can also fill out the forms online, print them and fax them to us using this option.

Fax Referral Form

Download the one-page HBOT Physician Fax-Back Referral Form and fax back with supporting documentation.

Checklist and information needed:

HBOT Referral Checklist (pdf)

Brook Park, Ohio

HBOT Physician Fax-Back Referral Form – Brook Park (pdf).

Submit Referral & Clinical Notes via the clinic-specific referral routing:

Fax: 216-417-1854 (Brook Park, Ohio)