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Forms and resources for health care professionals (4)

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    General referral form

    General Optum specialty referral form. Send us the form and we will take care of the rest.

    Multiple sclerosis referral form

    Optum referral form for multiple sclerosis. Send us the form and we will take care of the rest.

    Neuromuscular disorder referral form – migraine, cervical dystonia, overactive bladder

    Optum specialty referral form. Send us the form and we will take care of the rest.

    Neuromuscular disorder referral form– achalasia, chronic anal fissure, fetrusor overactivity, spasticity, bleopharospasm

    Optum specialty referral form. Send us the form and we will take care of the rest.