Physician Referral

East Tennessee Dermatology Group is excited about the opportunity to enhance the exceptional care you offer your patients with our specialized services in medical dermatology. We look forward to providing comprehensive dermatological care to your valued patients.

To refer a patient, please either complete and submit the form below or print, complete and fax the Patient Appointment Request Form to 865-582-0110.

Please be sure to submit or fax a unique form for each individual patient you are referring.

Patient Appointment Request Form