Druid City Vital Care

Druid City Vital Care Referral Forms

Step 1

Select the Appropriate
Treatment Referral Form

Select your referral form from the box below.
If you do not see the correct form, please call 205.409.9601.

Step 2

Submit Your Referral via Fax

Please do not email referral forms

Fax: 205.330.2600