HBOT Physician Referral Portal

Submit Online or Fax Referral

1- Submit Referral Online (Fastest Option)

Select the clinic location below to complete the secure referral form.

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

2-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)

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)