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Refer Your Patient to Ackerman Cancer Center

Partner with Ackerman Cancer Center to provide your
patients with personalized imaging, diagnostic, and cancer care. Our intake team makes it easy to connect your patient with our radiation oncology specialists. Submit a referral online, fax your referral, or contact our intake team directly.

We also accept referrals for patients with osteoarthritis who may benefit from low-dose radiation therapy (LDRT), a non-surgical option for persistent joint pain.

A woman with curly hair, wearing red glasses, gold hoop earrings, and a red blouse, is engaged in conversation with an older man in a white medical coat and a patterned red tie. The man has light-colored hair and a mustache, and his coat has a logo and text on it. They are seated on orange chairs in front of a blue window with white framing.

Refer Online

Submit patient information securely through our online referral form. Referrals are sent directly to our intake team for prompt coordination.
Submit a Referral

Call Intake

Speak directly with our intake team for referral assistance, patient coordination, or questions about the referral process.
(904) 513-3657

Fax a Referral

Download our referral form and fax the completed form, along with relevant supporting patient records and clinical information to (904) 880-5533.
Download Referral Form

Email Intake

For general referral questions or assistance coordinating a patient referral, connect directly with our intake team via email.
info@ackermancancer.com

How a Referral to Ackerman Works

After submitting your referral, our intake team will review the information and coordinate the next steps.

Submit Your Referral

Submit your referral online, by fax, or by contacting our intake team.

Provide Patient Information

Include relevant patient and clinical information to help us coordinate care.

Our Team Coordinates Next Steps

Our intake team will review the referral and contact your office as needed to coordinate next steps.

Your Patient. Our Shared Committment.

At Ackerman Cancer Center, we value the relationships we build with referring physicians. Our team works collaboratively with your practice to provide your patients with personalized, high-quality cancer care close to home.

What to include with your referral for efficient processing:

  • Imaging Reports
  • Pathology Reports
  • Laboratory Results
  • Recent Office Notes
  • Insurance Information
  • Prior Treatment Records
  • Reason for Referral or Diagnosis
  • Patient Demographics and Contact Information

Don’t have everything yet?
Send the referral and available records, and our intake team will help coordinate any additional records needed.

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