Dublin 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)

Dublin, Ohio

HBOT Physician Fax-Back Referral Form -Dublin (pdf)

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

Fax: 614-793-8431 (Dublin, Ohio)