Phone: 479.571.7070 Fax: 479.571.7090
Information for Physicians
Forms for Physicians
Referring physicians may complete the forms below prior to the patient’s appointment
at Physicians’ Specialty Hospital.
PDF: Autologous Blood Donation Order Form
PDF: Autologous Donation Procedures
PDF: Surgeon/Clinic Pre-Admission Pre-Admission (PAT) Orders
Pre-Admission Contact Information
For scheduling, testing, history and physical, clinical information, lab/testing results,
credentialing and orders.
Phone: 479-571-7835
Fax: 479-443-7191
E-mail: ddye@pshfay.com
Imaging Department
Phone: 479-521-5100
Fax: 479-521-5101
Laboratory Department
Phone: 479-571-7042
Fax: 479-571-7094
