Frequently Asked Questions About Referrals
What is a referral?
A referral is authorization from the patient’s Primary Care Physician (PCP) for the patient to see a specialist. A PCP is a family doctor, internist, or pediatrician.
How do I know if I need a referral?
You only need a referral if your insurance company requires you to have one. The best way to know for sure is to contact your insurance company. The phone number is located on your insurance card. Some insurance cards state on the card whether or not you need a referral. If you are not sure, contact your insurance company before your appointment.
How do I get a referral?
You need to contact your PCP and tell them that you need a referral for your
How does my referral get from my PCP to the specialist’s office?
You can have your PCP fax your referral to (804) 934–0358 for the main office, or (804) 864‐5409 for Physical Therapy, but the best way to be sure we get your referral is to pick it up from your PCP’s office and bring it with you to your appointment. That way you eliminate the chance of it not being here when you arrive.
What happens if I don’t have a referral the day of my appointment?
Unfortunately, if your insurance company requires a referral and you do not have one, they will not pay the claim for your visit and the patient/guarantor will be responsible for the bill. Therefore, we cannot see the patient without a referral, unless they sign a referral waiver.
Do I have to get a referral every time I come see a specialist?
Each referral has an expiration date. If you need to come back to the specialist after the expiration date has passed or for more than the specified number of visits, you need another referral from your PCP. Also, some referrals have a limited number of allowable visits. For example, the referral may be good for one year but only allows three visits; therefore, if you need to see the specialist for a fourth visit, you will need another referral from your PCP.