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Online – Refer your patient
You always have options at Summit. Choose the option that is most convenient for your practice.
Overview
Printable Forms – Refer your patient
Online – Refer your patient
Phone – Refer your patient
Quality
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Overview
Printable Forms – Refer your patient
Online – Refer your patient
Phone – Refer your patient
Quality
Physician Contact Information
Referring Physician Name
*
Referring Physician Clinic
*
Patient Contact Information
First Name
*
Last Name
*
Date of birth
*
E-Mail
Daytime Phone
*
Evening Phone
Appointment Details
Where is the patient's injury or condition?
Select body area
Ankle
Back
Elbow
Foot
Hand
Hip
Knee
Neck
Shoulder
Physician preference
No preference
Michael Anderson, D.O.
Robert Anderson, M.D.
Michael R. Baer, M.D.
Kristoffer Breien, M.D.
Andrew Brooks, M.D.
Michael Castro, D.O.
Catherine Y. Choi, M.D.
Andrew M. Clary, D.O.
Peter Daly, M.D.
J.P. Delaney, M.D.
Jack Drogt, M.D.
Erik J. Ekstrom, M.D.
David Falconer, M.D.
Michael Forseth, M.D.
Michael Q. Freehill, M.D.
Jeffrey Furmanek, D.O.
James Gannon, M.D.
Roman G. Guerrero, M.D.
Dane Hansen, D.O.
Ike B. Hasley, M.D.
Mark Holm, M.D.
Brandon J. Kelly, M.D.
Eric Khetia, M.D.
Mikhail A. Klimstra, M.D.
Mark W. LaBelle, M.D.
Sarah Lehnert, M.D., C.A.Q.
Kevin Lindgren, M.D.
David M. Matson, M.D.
Matthew S. Nies, M.D.
Debra M. Parisi, M.D.
Peter Parten, M.D.
Scott Pepin, M.D.
Jerome Perra, M.D.
Daniel T. Probst, M.D., C.A.Q.
David M. Rippe, M.D.
Tracy Rupke, M.D.
Samuel D. Russ, M.D.
Steven R. Sabers, M.D.
Kevin P. Sandhu, M.D.
Jose O. Santos, M.D.
Edward Santos, M.D.
Kirk Scofield, M.D.
Jack Skendzel, M.D.
Lauren L. Smith, M.D.
David W. Spight, D.O.
Erik S. Stroemer, M.D.
David H. Strothman, M.D.
Steven M. Stulc, D.O.
Edward Su, M.D.
Matthew Tarabochia, M.D.
Andrew Thomas, M.D.
Angela Voight, M.D.
Trevor Wahlquist, M.D.
Brian L. Walters, M.D.
Brent Warner, M.D.
Daren Wickum, M.D.
Reed Williams, M.D.
Nicholas Wills, M.D.
Appointment time preference
No preference
Morning: 8:00 am - 10:00 am
Morning: 10:00 am - 11:00 am
Afternoon: 11:00 am - 1:00 pm
Afternoon: 1:00 pm - 3:00 pm
Evening: 3:00 pm - 5:00 pm
Location preference
No preference
Elk River
Maple Grove
Minnetonka
Lakeville
Pine City
River Falls
Minnesota Occupational Health - Shakopee
Mora
Osceola
Baldwin
Eagan
M Health Fairview Sports Center (Woodbury)
Monticello
Buffalo
Plymouth
Hutchinson
Willmar
Minnesota Occupational Health - Blaine
Minnesota Occupational Health - Eagan
Minnesota Occupational Health - Saint Paul
Landmark
Vadnais Heights
Woodbury (Woodlake Center)
Saint Paul-Midway
Hastings
Forest Lake
Blaine
Additional Information
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