For Physicians & Referring Providers

Refer a Patient or Inquire About Collaboration

RecioMed welcomes referrals from physicians and healthcare providers. If you have a patient who may benefit from participation in a clinical study, or if you are interested in becoming an affiliated investigator, please complete this form.

Why Refer to RecioMed

Access to Investigational Studies

Patients referred to RecioMed may gain access to investigational protocols not available through standard care channels, under active IRB oversight.

Coordinated Communication

Our team provides referring physicians with updates on patient participation status, consistent with applicable privacy regulations and patient authorization.

No Cost to Referring Providers

There is no fee to refer a patient. Referral does not guarantee enrollment; all participants undergo eligibility screening.

Investigator Collaboration

Physicians interested in serving as sub-investigators or affiliated site investigators are encouraged to inquire about available opportunities.

Physician & Provider Inquiry Form

First Name

Last Name

Practice / Institution

Medical Specialty

Email Address

Phone Number

Nature of Inquiry

Therapeutic Area of Interest

Select the area most relevant to your patient or inquiry.

Additional Information

Optional. Brief clinical context, patient history summary, or any other relevant details. Do not include patient identifying information.

Submitting this form does not enroll any patient in a clinical study. All referrals are subject to eligibility screening. Patient information shared through this form is handled in accordance with HIPAA and applicable privacy regulations.