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

Directory

• Cullman Regional Medical Group Provider Directory