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Refer a Patient to TLC Life & Health

This secure form is for providers and clinics to refer patients for specialized vein, vascular, and wound care. Our team ensures clinical excellence and a holistic approach to patient wellness.

Birthday
Month
Day
Year
RX
Diabetic
YES
NO

For urgent referrals, please call our office directly at (682) 647-6500.

For urgent referrals, please call our office directly.

1305 Airport Fwy, Suite 103
Bedford, TX 76021

Main: (682) 647-6500
Fax: (469) 320-1268

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