Patient Referral Form

For patient referrals, please download this form.
  • Referral Specialists

    Thank You

    First, we want to thank you, the referral specialist, for your hard work. We know how challenging your job can be, and here at RCD, we want to work with you to help each other succeed. Our success is our patients’ success!

    Below you will find a helpful list of frequently asked questions in order to help with the referral process.

Referral FAQs

  • What if I have a patient that needs to be seen urgently?

    We have a walk-in policy for new referrals with Atopic Dermatitis, Psoriasis, Hidradenitis Suppurativa, and Vitiligo.

    Just give the patient their referral or fax it immediately (if possible) to (616) 320-0165. Have the patient call us so we know they are coming. They can show up at 8am Monday-Wednesday or Friday (we are closed on Thursdays), and I will fit them into my morning schedule before noon.

    The goal of this policy is to give the patient the urgent attention they require, but without going to an urgent care and just repeatedly getting prednisone.

  • Do you take pediatric patients?

    Yes, with a special focus on pediatric inflammatory skin disease such as Atopic Dermatitis, Psoriaisis, HS, and Vitiligo.

  • Does RCD require my physicians to see the patient prior to an acne referral?

    No. Please send them our way! 

  • Who handles the referrals and how do I contact that person?

    Gretchen, our front desk coordinator, handles referrals and she will be happy to assist you at (616) 320-5450, ext. 1, or at frontdesk@rivercityderm.com.