Divine Wound Specialist

Refer a Patient for Specialized Wound Care

Divine Wound Specialist works with healthcare providers, patients, families, and caregivers throughout Northwest Indiana to make access to specialized wound care simple and coordinated. Explore our Northwest Indiana service areas.

Hospital patient referral for specialized wound care

Simple 3-Step Referral

A straightforward process for connecting patients with specialized wound care.

01

Submit Referral

Download the referral form and send the completed information by fax or email.

02

We Review

Our team reviews the referral and coordinates the appropriate next steps.

03

Care Begins

The patient is connected with appropriate specialized wound care.

Ways to Submit a Referral

Download the referral form and submit it by fax or email, or contact our team for assistance.

Fax Referral

Complete the referral form and send it with relevant patient information by fax.

Fax: 219-377-7300
Download Forms

Email Referral

Complete the referral form and email it with the relevant patient information.

divinewoundspecialist@gmail.com Download Forms

Call Our Team

Need help with a referral? Contact our team directly for assistance.

219-257-2252 Call Now

Referral Information

Please include the basic patient and clinical information needed to review the referral.

Questions? Call 219-257-2252
✓ Patient name & contact information
✓ Wound type & location
✓ Relevant medical history
✓ Clinical documentation
✓ Insurance information when applicable
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