phone: 901.624.2600     l     westcancercenter.com     l     support@westclinic.com     l     fax: 901.922.6767



DOCUMENTS REQUIRED FOR REFERRAL:

Oncology: Pathology Report, Recent Office Notes, Imaging Report & Lab Report          l          Hematology: Lab Report & Recent Office Notes

Documents can be faxed to 901.922.6767