Physician referrals

Forms

Please fax referrals to (352) 627-4179

With your referral, please include:

• History and physical examination
• Office progress notes
• Reports of imaging pertinent to diagnosis
• Reports of biopsy or cytology specimen
• Current medication list
• Pulmonary function testing (if performed)

Lung Cancer Center Mailing Address

Cancer Navigation Office, Lung Cancer
PO Box 100342
Gainesville, FL 32610-0342