Partnerships

We partner with healthcare facilities, providers, and clinical teams to streamline the start of the patient intake process. This referral form is designed for facilities and referrers to securely send us non-PHI patient information so our intake team can begin coordination of care. Dynamic Wound Care is committed to delivering timely, compassionate, and high-quality wound care services. By providing preliminary non-PHI details, our team can quickly evaluate the referral and follow up with your facility to complete the intake. Please use this form only for patient referrals. Do not include any protected health information (PHI).