Refer a Patient
Let Us Bring Healing to You
Please use our patient intake form below to provide detailed patient information, including specifics of the wound, co-morbidities and any details on treatment already administered.
Additionally, please include any pertinent medical records, wound assessments and imaging results to support our evaluation and treatment planning process.
Please send all patient referrals to firstname.lastname@example.org or fax to (480)712-1305
Thank you for trusting Athena to bring healing home.
We take pride in our collaboration with referring healthcare professionals.
We believe in working together to optimize patient outcomes and ensure seamless continuity of care.
When you refer a patient to Athena, you can be certain they will receive a customized treatment plan from a committed, highly-trained team of wound care specialists.