Thank you for choosing to refer your patient to Specialists on Rocket Doctor’s platform. Please note that this form will be reviewed by Rocket Doctor support staff, who will allocate it to the requested specialist. We strive to present all external referrals to specialists within 2-3 days and help specialists on the platform reply to the consultation request. If for extenuating circumstances you have not received a reply within this period of time, please email referrals@rocketdoctor.io to follow-up.
This form should only be completed by a healthcare provider.