Vital Care of Lubbock

Vital Care of Lubbock Referral Forms

Address

  • 4020 21st Street, Suite 1
  • Lubbock, TX 79410

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 806.696.8010.

If you’re having trouble displaying the form on a mobile device, please make sure pop-up blockers are disabled.

Step 2

Submit Your Referral via Fax

Please do not email referral forms

Fax: 806.696.8020

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