Referrals

Physicians / Providers

Please fill out the referral form below. Once you click submit, our office will automatically receive the form via secure, HIPAA complaint email. We will be in contact with your patient within 2 business days to schedule. We usually can see patients within 2 weeks of receiving the referral. Our goal is to have the diagnostic testing and report complete and received by your office within 4 -6 weeks.  We will fax you a visit summary with our treatment plan. We will follow your patient until their treatment plan is in place and implemented. 

We can offer ongoing medication management, or if you prefer, we can make our recommendations, see your patient for a few visits until medications are optimized, then transfer back to your care.  If you have a strong preference for either of these options, please indicate on the referral form, so that we have an understanding of your expectations.   

REFERRAL

Tri-State DBPEDS 513-275-6630

2753 Observatory Avenue Cincinnati, OH