Easy steps to make a referral:

1. Download and fill out the editable Referral PDF Form
2. Save the form to your computer in a location easily accessible
3. Use the below online form to UPLOAD the edited Referral Form to a specialist OR print and fax the Referral Form to 601.932.4845

After submitted, the patient will be contacted by a NS2 specialist to complete the medical intake and to direct them to the appropriate clinic for scheduling.

If you have questions or would like to speak with someone, you can contact the NS2 by phone at 1.877.5544257 from 8:00 am to 4:30 pm, Monday through Friday. If you would like to speak directly to a physician's secretary, please use this directory.

Doctor Referral Upload