Online Referral From a Physician to
Orthopedic Associates of Dallas
To refer a patient to a HTPN physician or provider, please complete the information
requested below. This is a secure form, and the information you provide will
enable us to assist your patient as efficiently as possible.
Requesting an Appointment for Yourself? Use our appointment request form.
Required items are marked with a red asterisk*
Referring Physician Office Information