LiverLab Physician Forms Center



Download LiverLab Physician Forms

For your convenience, here you may download and complete standard LiverLab forms for referral of your patients. Your patients can download forms to complete before their arrival in our Patient Forms Center.

Please be sure to also review our NOTIFICATION TO PHYSICIANS page

 

LiverLab Physician Referral Form (2 Pages PDF)

This is our standard referral form for phusicians to complete and fax to .1 (888) 713-2152 (HIPAA Secure)



DOWNLOAD and PRINT PHYSICIAN REFERRAL FORM HERE



 



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Contact The LiverLab

 
844-2LIVERLAB
(844) 254-8375 (toll free)

Monday to Friday: 9:00am-12:00pm & 1:30pm-5pm

FAX: 1 (888) 713-2152
(HIPAA Compliant Secure Fax)

6991 E. Camelback Road
Suite D-300
Scottsdale, AZ 85251

Located above the west side of Mastro's City Hall Steakhouse at Scottsdale Fashion Square at Camelback Rd. and Goldwater (southwest corner).

Use our Email Contact Form HERE to contact us 24 hours a day.

The LiverLab, located in Scottsdale, Arizona, is currently the only independant Liver FibroScan lab facility in the Metro Phoenix region. In addition to Scottsdale and Phoenix, AZ, the LiverLab services patients from the entire Phoenix Metro area to include Tempe, AZ; Mesa, AZ; Gilbert and Chandler, AZ and Glendale, Peoria, Surprise and Sun City, Arizona as well as other cities.



 
 

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