Cullman Regional Medical Group

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

Cullman Regional Outpatient Orders

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

Directory

• Cullman Regional Medical Group Provider Directory