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Referrals

Thank you for considering Dr Amir Ashrafi for your patient's care. We are committed to providing excellent specialist care and working collaboratively with referring practitioners. For medical professionals, Dr Ashrafi is happy to directly discuss the case and his mobile number can be requested from his receptionist.

Electronic Referral

HealthLink EDI: aashrafi

Submit a Referral

Please fill out the form below to submit a patient referral. Required fields are marked with an asterisk (*).

Referring Doctor Information

Patient Information

Clinical Information

Attachments

Optional: Attach any relevant documentation (reports, imaging, etc.)