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Refer My Patient

Please complete all of the following information so that we may better serve you. You will be called back within 2 business days so that we may assist you with your needs. Thank you.

PLEASE DO NOT USE THIS FORM FOR REFERRALS THAT REQUIRE EMERGENT, URGENT OR IMMEDIATE SERVICES. If this is an emergency, please seek immediate treatment by calling 911 or going to the nearest emergency room.

Refer To: ENT - Head and Neck Surgery
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Important Note:

The Stony Brook Medicine University Physicians website is primarily an informational and educational resource. It should not be used in place of medical advice and recommendations you receive from your health care provider. If you have, or suspect that you have a medical problem or condition, please seek the advice of your health care provider.


Stony Brook Medicine University Physicians provides marketing advice and consultation to the clinical Faculty associated with the University Faculty Practice Corporations (UFPCs). It does not provide medical care directly or indirectly nor does it oversee, direct, manage or supervise the medical care provided by any of the individual Practices. The individual Practices are responsible for the medical care each Practice provides to its patients. Please note that the Practices listed below are separate University Faculty Practice Corporations (UFPCs).