BEACON EMR HIPAA Disclaimer Site Map Social Media
BayCare Health System
Community Benefit Financial Assistance Policy Quality Report Card Health Library News Doctor Connect Find Us
Services Hospitals Find A Doctor Classes & Events About Us Careers Contact Us Get E-Newsletter
Physicians - Refer a Patient
 Back  Back

May We Help You?

Call 1-877-692-2922
Monday-Friday, 8am to 5pm

Persons with hearing and speech disabilities can reach the above number through TDD and other specialized equipment by calling the Florida Relay Service at 711.

Contact Us
Search jobs

Decrease (-) Restore Default Increase (+) Font Size
Print    Email
Please provide the information below to allow us to provide the best options for the patient. All information is confidential.

* Indicates required information
Physician Name * 
Office or Organization Name 
Physician Phone Number * 
Physician Email 
Patient Name * 
Patient Phone Number * 
Patient City * 
Patient County 
What describes your concern? * 

Initial Impressions/Diagnosis 
Authentication * 

If the challenge words are too difficult to read, click here to refresh.

Serving The Tampa Bay Area © Copyright 2015 BayCare Health System