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Patient Referral Form PDF
Fax form to: 412-276-9033
Email: referrals@tma-wpma.com
Only Medical Professionals can fill in the form.
Come in and watch a procedure
If you are a medical professional, you can give us a call to schedule a time to come in and watch a procedure for Your CEU Credits or just to see a procedure.
Pretty cool right?
Call us at: 412-276-9030
or fill out the form below
Patient Referral Form Fillable PDF
Fax form to: 412-276-9033
Email: referrals@tma-wpma.com
Only Medical Professionals can fill in the form.
Required Patient Documents
Fax form to: 412-276-9033
Email: referrals@tma-wpma.com
Only Medical Professionals can fill in the form.
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