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Dandelion Fields

Make a Referral

Refer a Patient

Hanna Medical Clinic is committed to providing exceptional, personalized care to all that we serve. When completing the following form, please include as much information as you can so that we can best support this individual. If at anytime you have a question or need additional information from us, please do not hesitate to call or email us. 

Referral Form

The person you are referring can expect to hear from us within 1-2 business days. 

Thanks for submitting!

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