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X-Ray Results
Information for Referring Physicians

Dr. Helva is here to assist community physicians and specialists with consultation and referral services. To refer a patient, please complete our physician referral PDF form below and fax all related clinic notes and diagnostic reports to 251-928-6110. Or you may email the information to us at



Once the form is submitted, you will receive a return call or email confirming your referral and establishing contacts for follow-up or additional information. The information submitted will be reviewed within 48 hours, and the patient will be contacted about an appointment.

Thank you for your referrals.


The form requires Adobe® Reader®. Download it for free from Adobe.

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