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Referrals

Your partners in health care

For Physicians

To refer your patient to Fountain Health, please submit the secure form below. After you submit this form, a member of our clinical team will contact the patient to schedule an appointment and assist with registration if needed.

To refer a patient, please complete the following form and upload any relevant patient documents so that we may prioritize appointments or fax or email all relevant information. (Fax: 232-2029 | Email: info@fmg.bm)

 

Suggested documents to assist in assessment include:

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  • lab results (past relevant)

  • radiology reports

  • DXA scans

  • other specialists' information

  • medication list

  • names of other specialists and healthcare providers 

Our privacy policy can be viewed here.

NOTE:

Patient Information

All fields are required.

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