ACE PHYSICIAN SERVICES

For referring offices

Refer a patient to ACE.

Fax or email the referral form with supporting documentation. We contact the patient, schedule the visit and confirm it took place.

How to refer

  1. Download the referral form (PDF).
  2. Complete the patient information, referral type, specialty and priority.
  3. Fax it to 832-460-3110 with supporting documentation, or email it to intake@acephysicians.com.
  4. Our coordinator contacts the patient and schedules the visit.

Please include

  • Patient demographics, a copy of the insurance card and driver's license
  • The two most recent office notes
  • Applicable diagnostic tests
  • A recent history and physical

Referral priority

Urgent

Within 24 hours.

High

Within 3 to 4 days.

Routine

Scheduled at the next suitable opening.

What can be referred

Specialty visits, surgical placement, diagnostic imaging (MRI, CT, X-ray, ultrasound, EMG) and durable medical equipment. We accept evaluate-and-treat, direct schedule, private pay, workers' compensation, Department of Labor and personal injury referrals.

See the full list of specialties