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Online Appointment Request (PACES) Form
Referring Physician Information
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ADD & Dyslexia Therapy Center - 2182 West Street - TN - 38138
All Care Medical Clinic - 313 Cleveland St - TN - 38063
All Children's Clinic - 103 Halls Cove - MS - 38668
All Children's Clinic - 3674 Goodman Rd., East Ste.9 - MS - 38671
All For Kids Pediatric Clinic - 904 Autumn Road Ste. 100 - AR - 72211
Ally Med -Christina - 7618 HWY 15 - MS - 38841
American Way Resurrection Health - 4095 American Way - TN - 38118-8339
Apache Children's Clinic - 3203 Methodist Dr. - AR - 72401
AR Care -60 - 611 E. Julie St - TN - 72396
ARcare - 1530 N. Church St - AR - 72401
ARcare - 2816 Fox Meadow Lane - AR - 72401
ARcare - - 1511 Hwy 25BN - AR - 72543
ARcare -cs - 5787 Hwy 64 - AR - 72373
Associates of Family Practice - gt - 7889 Astoria, - TN - 38035
Atoka Pediatric Clinic - Christina - 36 Capital Way Dr., Ste E - TN - 38004
Auburn Family Medical Clinic - 149 North Eason Blvd - MS - 38804
Bartlett Children's Clinic - 6385 Stage Rd., Ste. 2 - TN - 38134
Benton Medical Center - ps - 15921 Boundary Dr. - MS - 38603
BMG -New Albany Ear, Nose & Throat - 452 West Bankhead St. - MS - 38652
BMG -New Albany Ear, Nose & Throat-Kemetria - 452 WEST BANKHEAD STREET - MS - 38652
BMG- New Albany Pediatrics - Christina - 228 Starlyn Ave - MS - 38652
Booneville Family Medicine - gt - 100 Hospital Street, Ste 100A - MS - 38829
Brady's Practice - 123 Street - TN - 38103
Byhalia Family Medical - bj - 12 E. Branswick Ave. - MS - 38611
Campbell Family Clinic - bj - 860 DeSoto Ave., Ext - MS - 38614
Carnahan Clinic - 7900 - MS - 38671
CentroSalud Family Health Center - bj - 6063 Mt. Moriah Extd. Suite 4 - TN - 38115
Child & Adolescents Clinic - 1204 W. Kingshighway ays - AR - 72450
Children's Clinic of Jonesboro - 800 S Church Ste 400 - AR - 72401
Children's Clinic at Willow Creek - 2503 Willow Creek - AR - 72764
Children's Clinic of Clarksdale - bj - 2245 North State Street - MS - 38614
Children's Clinic of Jackson - 264 Coatsland Dr. - TN - 38305
Children's Clinic of Oxford - 2888 S. Lamar Blvd., - MS - 38655
Children's Desoto Clinic - 7276 South Crest Parkway - MS - 38671
Children's of Mississippi Neurology - - -
Children's Special Services Of West Tennessee - 295 Summar Dr. - TN - 38305
Christ Community Health Service - cs - 3362 S Third Street - TN - 38109
Christ Community Health Service - cs - 5366 Mendenhall Mall - TN - 38115
Christ Community Health Service - Poplar - 2400 Poplar Ave Ste 501 - TN - 38112
Christ Community Health Service - Raleigh - Austin Peay - TN - 38127
Christ Community Health Service -Orange Mound - 2569 Douglass Ave - TN - 38114
Christ Community Health Services - Frayser - Alyssa - 3124 N. Thomas St. - TN - 38127
Christian Family Mediine & Ped - 79 Hwy 51 South - TN - 38063
Clarksdale Orthopedics - gt - 785 Ohio Street, Suite 1H - MS - 38614
Cleveland Medical Clinic - 810 E Sunflower Rd, Ste. 100A - MS - 38732
Cockrell Family Medical Center - bj - 120 Norfleet Drive - MS - 38668
Collierville Family Health - gt - 2028 W. Poplar Ste 115 - TN - 38017
Collieville Pediatrics - Brandy - 2028 W. Poplar Ave., Ste. 112 - TN - 38017
Collom and Carney Clinic - 5002 Cowhorn Creek - AR - 75503
Columbus Children's Clinic - 2402 5th Street North - MS - 39705
Comprehensive Medical Associates - Jennifer - 1331 Union Ave. Ste. 900 - TN - 38104
Comprehensive Medical Associates-Kirby Parkway - gt - 2900 Kirby Parkway Ste. 15 - TN - 38119
Contemporary Pediatrics -ps - 4250 Faronia Rd - TN - 38116
Cordova Pediatrics PLLC - April - 1665 Bonnie Lane Ste., 101 - TN - 38016
Creekmore Clinic - Kemetria - 216 Oxford Rd - MS - 38652
Dallas Medical - 4645 Village Sq Dr - KY - 42001
Delta Health Center - bj - 702 Martin Luther King St - MS - 38762
Desota Community Health- ps - 7535 Airways Blvd. - MS - 38671
DeSoto Childrens Clinic - 7276 Southcrest Parkway - MS - 38671
Dr James Sheridan - 413 W Grand Ave - MO - 63933
East AR Children's Clinic - rs - 901 Holiday Dr - AR - 72335
East AR Family Health Center - rs - 900North 7th - AR - 72301
East Jackson Medical Center - 655 Lexington Ave - TN - 38301
East Memphis Pediatrics - bj - 6005 Park Ave Ste. 306 - TN - 38119
Elite Pediatric and Adolescent Medicine - 201 Lakebiew Drive Ste A - TN - 38068
Endocrine Clinic in Memphis - 5659 South Rex Road Memphis, - TN - 38119
ENT Consultants of North Mississippi - ps - 497 Azalea Dr., Ste 101 - MS - 38655
ENT Memphis - 2996 Kate Bond Ste., 407 - TN - 38133
ENT Memphis - 791 Estate Place - TN - Memphis
Faith Family Clinic - 2209 N. 2nd Street - MS - 38829
Faith Family Clinic - cs - 820 Hwy 2 - MS - 38834
Family Care Providers- ac - 176 W. University Parkway - TN - 38305
family Care Providers - ac - 45 W. Humbolt - TN - 38343
Family First Clinic of Clarksdale - Kemetria - 1015 Lee Dr., Ste 13 - MS - 38614
Family First Medical Center - Kemetria - 899 Hwy 51 South - TN - 38019
Family Medical Clinic - 803 First St - MS - 38732
Family Medical Group - ps - 126 Hwy 72 - TN - 38017
Family Medicine Associates of Blytheville - 1521 N. 10th St, Ste. C - AR - 72315
Family Practice Clinic of Paragould - ps - 1015 W. Kings Hightway - AR - 72450
Ferguson Rural Health Clinic - 1641 S, Whitehead Dr - AR - 72042
FMRC - 1665 S Green St - MS - 38801
Galen Pediatrics - 1651 Gunbarrel Road Ste 302 - TN - 37421
Getwell Community Clinic LLC. - rs - 3960 Knight Arnold Rd Ste. 420 - TN - 38118
Graham Primary Healthcare - ps - 200 Rhodes Ste. C - AR - 72301
Graham Primary Healthcare - ps - 200 S. Rhodes #C - AR - 72301
Great River Pediatric Clinic - 1521 N. 10th St., Ste. F - AR - 72315
Healthy Lifestyle Clinic - 51 N Dunlap St., Ste. 400 - TN - 38104
Healty Life - 6605 Stage Rd. - TN - 38134
Hickory Flat Clinic -bj - 250 Oak Street - MS - 38633
Hometown Urgent Care - 2550 Parr Ave - TN - 38024
Horn Medical Clinic - 1002 East Madison st - MS - 38851
IMA - 845 South Madison - MS - 38801
IMPC - W Bankhead St. - MS - 38652
IMPC-New Albany - 118 Fairfield Dr - MS -
Indianola Family Medical Group - 122 East Baker Street - MS - 38751
Integrated Health - Kemetria - 5779 Getwell Rd. Bldg B., Ste. 3 - MS - 38672
Integrity Oncology - 1012 South Miles Avenue - TN - 38261
Ivancic Pediatric Clinic - 499 Gloster Creek Village Ste. H3 - MS - 38801
jackson Clinic - -123 - TN - 38301
Jackson Pediatric Center - Kemetria - 60 Physicians Dr - TN - 38305
Kaplan Dermatology - gt - 6401 Poplar Ave Ste 330 - TN - 38119
Kennett Pediatrics and Adolescent Med - 211 Teaco Rd. - MO - 63857
Kronenberg, Eiseman, Tsiu, Shahbaz - 920 Estate Dr - TN - 38119
Kronenberg, Tsiu, Eiseman & Shahbaz -gt - 920 Estate Dr., Ste. 3 - TN - 38119
La Camella - 3030 Covington Pike, Ste 100 - TN - 38128
Lafayett Pediatric Clinic - 1300 Access Rd Ste. 400 - MS - 38655
Le Bonheur Outpatient Clinic - 942 Commonwealth - MS -
Lentz Pediatrics - 10777 HWY 412 west - TN - 38351
Lentz Pediatrics - Alyssa - 19 Security Drive - TN - 38305
Lifespan - 150 East End Dr - TN - 38372
Lifespan -ac - 765 Florence Rd - TN - 38372
Magnolia Corinth ENT - 401 Alcorn Dr.,m ste. 2D - MS - 38834
Magnolia Pediatric Clinic - 401 Alcorn Dr Suite 2B - MS - 38834
Mal S. Riddell, D.O. - 1300 Sunset Drive Ste B - MS - 38901
Marta Hans Clinic - gt - 102 Norman Road - MS - 38834
Martin Pediatric Clinic - bj - 142 Mt Pelia - TN - 38237
Martin Pediatric Clinic - bj - 142 Mt Pelia Rd - TN - 38237
Mason Surgical Clinic, PLLC - 301 A Oxford Road - MS - 38652
McClatchy Medical Center - 7235 Hacks Cross Rd - MS - 38654
Med South Healthcare, P.C.-Dyersburg - 1700 Woodlawn Ave. - TN - 38024
Memphis & Shelby Pediatrics Group - 6479 Winchester Rd, Ste. 118 - TN - 38125
Memphis & Shelby Pediatrics Group-Whitehaven - 1444 E. Shelby Dr., Ste. 317 - TN - 38116
Memphis Children's Clinic - Germantown gt - 7705 Poplar Ave., Ste. 230 - TN - 39138
Memphis Children's Clinic -Germantown-gt - 7705 Poplar Ave Ste 230 - TN - 38138
Memphis Children's Clinic -Olive Branch - 9860 E Goodman Rd - MS - 38654
Memphis Children's Clinic -Southaven - gt - 7672 Airways Blvd. - MS - 38671
Memphis Children's Clinic Kirby - gt - 6615 Kirby Center Cv. - TN - 38115
Memphis Children's Clinic PLLC - - TN - 38128
Memphis Children's Clinic- Bartlett - 3155 Kirby Whitten Rd - TN - 38134
Memphis Childrens Clinic-Whitehaven - gt - 1129 Hale - TN - 38116
Memphis Health Center - bj - 915 E. McLemore Ave., Ste. 107 - TN - 38106
Memphis Pediatric Gastroenterology and Hepatology PC - 806 Estate Place - TN - 38130
Memphis Pediatric Heart - 6215 Humphreys Blvd Ste 211 - TN - 38120
Memphis Pediatrics - gt - 1255 S Germantown Rd - TN - 38138
menticello Medical Clinic - 906 Roberts Dr. - AR - 71655
MIchie Healthcare Associates - ps - 5823 HWY 22 S - TN - 38357
Mid South Pediatrics - bj - 2921 Hwy 77 Suite 21 - AR - 72364
MidSouth Minor Medical & Primary Care April - 710 N. Missouri - AR - 72301
Miller Dental Clinic - 5124 Stage Rd Ste C2 Bartlett - TN - 38134
Mississippi County Primary Care - 602 West Union Ste., B - AR - 72370
Nathan Baldwin, M.D - rs - 100 Hospital St. Ste. 100 - MS - 38829
NATHAN W. BALDWIN - rs - 100 HOSPITAL STREET, SUITE 100 - MS - 38829
NEA Baptist Clinic -Ayssa - 305 W. Main St - AR -
NEA Baptist Clinic -Pediatrics - 1150 E. Matthews Ste. 101 - AR - 72401
New Albany Children's Clinic - 462 W Bankhead St - MS - 38652
New Albany Medical Group -Christina - 300 Oxford Rd - MS - 38652
Newsom Healthcare - 2906 Goodman Road, Suite 109 - MS - 38680
Newstart Family Care - 3530 Hickory Hill Rd - TN - 38115
Newstart Family Care - rs - 2535 Whitten Rd, Ste. 101 - TN - 38133
North Mississippi Pediatrics - 104 Desert Cove - MS - 38866
North Mississippi Pediatrics - 1573 Medical Park Circle - MS - 38801
North Sunflower Medical Center - 840 N. Oak Ave - MS - 38771
Noyes Family Care Center - 2000 Shiloh Rd - MS - 38834
Oxford Pediatric Group - ac - 101 Farm View Dr. - MS - 38655
Oxford Pediatric Group -bj - 7615 Highway 51 South - TN - 38004
Paragould Pediatrics - 4000 Linwood Dr STE H - AR - 72450
Pediatric & Teen Medical Center - cs - 1521 N 10th St, Ste H - AR - 72315
Pediatric Assoc of Dyersburg - Kemetria - 1501 Brayton Ave - TN - 38024
Pediatric Associates - 128 tyler - AR - 72301
Pediatric Associates of West Memphis - 108 W Tyler Ave - AR - 72301
Pediatric Associates of West Memphis -bj - 200 Pine Street - AR - 72364
Pediatric Associates of West Tenn, PLLC - 1203 East College St - TN -
Pediatric Associates of West Tennesse PLLC - 1501 Brayton Ave - TN - 38024
Pediatric Associates P.C. - 3876 New Covington Pike - TN - 38128
Pediatric Associates P.C. - 3876 New Covington Pike - TN - 38128
Pediatric Consultants P.C - 6215 Humphreys Blvd Ste 200 - TN - 38120
Pediatric Consultants P.C. - 1458 W. Poplar Ave Ste. 201 - TN - 38017
Pediatric Consultants P.C. - 51 N. Dunlap St. - TN - 38103
Pediatric Consultants P.C.- gt - 6215 Humphreys Blvd. - TN - 38120
Pediatric Partners of Memphis - 6063 Mt. Moriah Extd., Suite 13 - TN - 38115
Pediatric Urology Associates of the Midsouth PC - 1920 Kirby Parkway, Ste 100 - TN -
Pediatrics East- Bartlett - 8025 Stage Hills Blvd. - TN - 38133
Pediatrics East- Collierville - 120 Crescent Drive - TN - 38017
Pediatrics East- Cordova - 8110 Walnut Run - TN - 38018
Pediatrics East- Germantown - 2002 Exeter - TN - 38138
Pediatrics East- Germantown - 2004 Exeter - TN - 38132
People First Urgrent & Primary Care Clinic - 4772 Navy Rd St. A - TN - 38053
Physicians Quality Care - 2075 Pleasant Plains Ext - TN - 38316
Planned Parenthood Pediatrics - 1007 S Peoria - OK - 74120
Primary Care Pediatric - Alyssa - 8081 Hwy 51 North - TN - 38053
Primary Healthcare of Millington, Inc. - 4772 Navy Rd - TN - 38053
Progressive Physicians Practice - 8412 Airways Blvd. - MS - 38671
Rainbow Pediatric, PC - 1636 Main Street - TN - 38343
Raleigh Group, PC - Covington Pike - 2860 Covington Pike - TN - 38128
Raleigh Group, PC - Hwy 64 - 3161 Hwy 64, - TN - 38028
Reelfoot Family Walk In Clinic - 1954 St . John Ave Ste. 1 - TN - 38024
Regal Pediatrics - 1109 E Reelfoot Ave, Ste. D - TN - 38261
Resident Program - 50 N. Dunlap St. - TN - 38128
Rural Health Clinic - Alyssa - 326 Asbury Ave Ste101 - TN - 38063
Segers Clinic - 1507 W. Quitman St - MS - 38852
Selmer Clinic - 203 Pharr Ave - TN - 38375
Senatobia Childrens Clinic - April - 104 Court St. - MS - 38668
Speight Clinic - 76 Tabb Dr Ste, E - TN - 38058
Taylor Medical Center - 460 N. Parkway - TN - 38305
Test group name - Test Address - NE - 38103
Test System - 850 Poplar Ave - TN - 38104
The Children - PO Box 1447 - MS - 38614
The Children's Clinic of Greenville - 1502 S Colorado St. - MS - 38703
The Children's Clinic of Jonesboro - bj - 800 S. Church St., Ste. 400 - AR - 72401
The Childrens Clinic - 228 W. Tyler #304 - AR - 72301
the Childrens Dental Center - 2408 S. Lamar., Ste. 1 - MS - 38655
The Jackson Clinic - 2863 HWY 45 bypass - TN - 38305
TLC Pediatrics - 955 Carolyn Ln - AR - 72034
Tri Lakes Pediatric - 435 Highway 6 E. - MS - 38606
Tri-State Community Health Center - 4041 Knight Arnold Road - TN - 38118
Twin River Pediatrics - rs - 1312 First St. - MO - 63857
ULPS /Gastroenterology - 777 Washington Ave. - TN - 38103
ULPS Tupelo Clinic - 942 Commonwealth Blvd. - MS -
ULPS Urology - 777 Washington Avenue - TN - 38103
ULPS/ENT - 777 Washington, Suite 10 - TN - 38105
ULPS/ENT - 7945 Wolf River Blvd, Suite 220 - TN - 38138
Unity Medical Clinic of Memphis - 2725 Kirby Rd Ste. 1 - TN - Memphis
Univ of MISS Medicail Center - 2500 State St - MS - 39216
Unknown Value - 36 Capital Way , Ste. E - TN - 38004
Unknown Value 2 - UMHS Dept. of Emergency Medicine 1500 E. Medical Center Dr - MI - 48109
Urgent & Primary Care of Clarksdale - 125 Hwy 322 Clarksdale,MS 38614 - -
Urgent Team - 3040 Goodman Rd West - MS - 38637
Urgent Team -Batesville-BJ - 555 Hwy 6 East - MS - 38636
UT Boling Center - 711 Jefferson Avenue - TN - 38105
UT Dermatology Clinic - 930 Madison Ave., Ste 801 - TN - 38104
UT Family Medicine - 294 Summar Drive - TN - 38301
UT Medical Group - Kemetria - 1301 Primacy Parkway - TN - 38119
Wade Family Medicine - 115 S. Munford St - TN - 38019
Wagner Medical Clinic Lepanto - 730 Greenwood Ave. - AR - 72354
Wagner Medical Clinis-Manila - HWY 18 - AR - 72442
Williams Medical Clinic - 1938 Crestent Meadow Drive - MS - 38635
Willie Anderson, MD - 125 Cool Springs Blvd. #210 - TN - 37067
Willis Clinic - 616 West Lee Ave - AR - 72370
Wolf River Pediatrics - 6215 Humphreys Blvd., Ste 300 - TN - 38120
Yukon Clinic - 1355 W. Briarbrook Rd - TN - 38138
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