Refer a Patient | Gateway Wound Care

How to Refer

Call Us

Speak with our referral coordinator directly. We'll answer questions and get the patient scheduled.

(314) 900-6944

Email Referral

Send patient details and medical history. We'll verify insurance and confirm the appointment.

[email protected]

Fax Referral

Complete our referral form and fax it directly. We'll process immediately and contact the patient.

(314) 689-1318

What to Include in Your Referral

Required Information

Patient name, date of birth, and contact information
Current wound type(s) and location(s)
Wound duration and current treatment
Relevant medical history (diabetes, vascular disease, etc.)
Current medications and allergies
Insurance information (primary and secondary)
Preferred appointment date and time
Your name, clinic/facility, and contact information

What Happens Next

1

Insurance Verification

We verify coverage and benefits. Patient is contacted with appointment options.

2

Schedule Visit

Appointment scheduled at patient's home or facility. Confirmation sent to patient and provider.

3

Initial Assessment

Comprehensive wound evaluation and care plan development. Coordination with your clinic.

4

Ongoing Updates

Clinical summaries after each visit. Regular communication with your team on patient progress.

Send a Referral Online

Prefer digital? Use the form below to send us a referral. We'll acknowledge receipt, verify insurance, and coordinate scheduling with you and the patient.

Your Name*

Your Role / Title*

Clinic / Facility*

Facility Type

Your Email*

Your Direct Phone*

Patient / Referral Details

PHI notice: This form is not HIPAA-secure. For patient identifiers and clinical detail, please call (314) 900-6944, fax (314) 689-1318, or email [email protected] — we'll acknowledge and continue over secure channels.