PATIENT REFERRALS FROM PROVIDERS
Please email referrals to contact@scottsdaleazdetox.com or fax to 480-247-3627.
GET REFERRAL FORMS
Rx Prescription Pad
(Tear-Off)

Referral Form
(Tear-off or Digital)

Please email referrals to contact@scottsdaleazdetox.com or fax to 480-247-3627.
Rx Prescription Pad
(Tear-Off)
Referral Form
(Tear-off or Digital)