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Physician Resources

Home | Physician Resources

Cullman Regional Medical Group

  • Orthopedics & Sports Med Physician Referral Form – Bergquist, Gould
  • Rheumatology Referral Form – Aesha Singh, MD
  • Neurology Referral Form — Murray and Siddiqi
  • Bariatric General Surgery Referral Form Venkat Kanthimathinathan, MD
  • Endocrinology Physician Referral Form – Lakshmi Kannan, MD
  • Surgical Arts Physician Referral-Form — Evans, Thompson
  • Gynecology Physician Referral – Randy Yarbrough, MD
  • Hartselle Physician Specialty Clinic Referral Form
  • Pulmonology Physician Referral Form – Bullard-Cole
  • Spine Specialist Referral Form – Phillip Kravetz, MD
  • Cardiology Clinic Referral Form – Lee, Mahan, Neal, Singireddy, Beam

Cullman Regional Outpatient Orders

  • Cardiovascular Services Order Set
  • Lab Orders
  • Pre-certification request form
  • Radiology Report Request
  • Breast Imaging Orders
  • Cardiopulmonary Rehab Patient Referral Form
  • Outpatient Sleep Study Order
  • Imaging Patient Referral
  • Lung Screening Order
  • Hyperbaric and Wound Care Referral Form

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