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Refer A Patient

For Healthcare Providers & Referring Practices

We’re getting ready to welcome patients to Kinship. Referring providers and practices are welcome to begin sending referrals now. We’ll reach out to patients as appointments become available.

To send a referral, simply fax the completed referral form and supporting clinical records to the number below.

Kinship Fax Number

(606) 203-5690

DOWNLOAD REFERRAL FORM

Kinship Referral Form (pdf)

Download

Please note: An anticipated scheduling date has not yet been established. Submission of a referral does not guarantee acceptance or establish a provider-patient relationship.

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