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Get Mayo Clinic Referral Form

Please complete, print and submit. Reset Form Referral to Mayo Clinic Fax to the desired location: Rochester, MN Domestic Phone 800-533-1564 Fax 800-321-1368 International Phone 507-284-8884 Fax 507-538-7802.

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  5. Add the relevant date.
  6. Check the entire form to make certain you have filled in everything and no changes are needed.
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