Refer a Patient

Refer a Patient

Thank you for considering the Barbara Ann Karmanos Cancer Institute as part of your team. We want to make referring your patients as easy as possible for both you and your patient.

Referral Options

As a physician you can refer your patients to see our specialists for cancer treatment, or you can refer your patients to rule out a potential cancer diagnosis.

Referrals to Karmanos can be made by:

  • Phone: Call our referring physician line at 1-800-527-6266 to speak with a Karmanos representative 
  • Having the following information available when you speak to a Karmanos representative will make the process quicker and more convenient for you.

    • Patient Information
      • Patient’s full name
      • Patient address (street, city, state, zip)
      • Day, evening and emergency telephone numbers
      • Social security number
      • Complete insurance information

    • Referring Physician Information
      • Name
      • Address 
      • Phone
      • Primary care physician name, address and phone (if different)

    • Information Needed for Appointment 

      The patient should bring complete medical records including original films, slides and copies of reports of any mammograms, ultrasounds, biopsies, other relevant tests or medical history. We appreciate your help in securing these.

  • Online: Fill out our quick and easy online form:
    Online Referral Form

  • Fax: Download, complete and fax the form:
    Download a Referral Form

What Your Patient Will Need

To help your patient prepare for their consultation with a Karmanos specialists, it is best for a patient to bring at least three years’ worth of test and medical records to a consultation. It may also help patients avoid duplicating tests for which their insurance will only pay for a single test in a given time period.

Referral Materials

What type of appointment are you requesting?

Please download and fax to us the form pertinent to the type of appointment request, as well as the Authorization to Request Medical Records form.

You can also access our online Provider Directory for more information on our physicians, including:

  • Phone numbers
  • Specialties
  • Board certifications
  • Research interests
  • And more