Physicians Referral Portal

Royal MD Referral Portal

Gain Access to the Portal

Follow these two easy steps.

Complete and Fax the Appropriate Confidentiality Agreement(s):

Email Your Contact Information To:

Someone will contact you within 24 hours.

Exam Forms

The above forms are in PDF format and can be viewed using Adobe Acrobat Reader. If you do not have this application, visit the Adobe site at to download a free copy.