PATIENT REFERRAL

Wound Care | Ostomy

PHONE: 702-803-5534

Naz Wahab MD 

William Warner, MD

Christine Pleitez, APRN

Katelyne Atijera, APRN  

Mussie Mahderekal, DO

Matt Pellnitz, MD

John Davis, MD 

Andria Henderson, APRN

Tyler Heeren MD

Shaukat Damji, MD

Arlene Blanco, APRN

Veronica Jones, APRN

New Patient Referral

  • PATIENT INFORMATION
  • MM slash DD slash YYYY
  • HEALTH INFORMATION
  • REFERRING PHYSICIAN INFORMATION
  • PLEASE INCLUDE PATIENT MEDICATION LIST, RECENT LAB/DIAGNOSTICS RESULTS AND PROGRESS NOTES

FORT APACHE LOCATION

6070 S FORT APACHE, STE 100
LAS VEGAS, NV, 89148

 

EASTERN LOCATION

8425 S EASTERN AVE
LAS VEGAS, NV 89123

TENAYA LOCATION

2851 N TENAYA WAY, STE 101
LAS VEGAS, NV 89128

 

SAHARA LOCATION

5110 W SAHARA AVE
LAS VEGAS, NV 89146

PAHRUMP LOCATION

1397 S LOOP RD
PAHRUMP, NV 89048