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For HMO patients please send a PCP's signed order, authorization approval takes
anywhere from 3 to 14 business days. PCP office must initiate HMO authorization.
Phone: 1-844-968-6363
Fax: 1-818-351-8126
Website: woundcaresurgeons.org
Email: info@woundcaresurgeons.org
Are you in need of seeing a wound care
specialist MD right away?
Referral Process
Schedule an appointment at our clinic today!
Hospice
Face Sheet:
• Recent wound pictures
• Medical director's signed
orders for WCS
• Plan of Care/H&P/recent
discharge summary
(any of these)
Visit our website to schedule an appointment
No waiting time!!
Patient must be transported in wheelchair & not in gurney
Home Health
Face Sheet:
• Plan of Care/H&P/Med List/
Discharge summary
• PCP's Signed Order for WCS
• Recent wound pictures
For SNF
Face Sheet:
• Most recent H&P or
• Discharge summary
• PCP's Signed order for WCS
For PCP's Office
Face Sheet:
• Most recent H&P
• Signed order for WCS
consult & treatment
