CyberKnife Patient Referrals

Potential patients are encouraged to contact the Barrow CyberKnife medical team to determine if CyberKnife treatment is appropriate. Physicians may reach the CyberKnife department by calling the ResourceLink at 1-800-BARROW1 or by using the Physician Referral Form below. Referrals are reviewed by a CyberKnife specialist to screen for treatment eligibility.

The following information is requested for the screening process:

• Patient's name and age
• MRI or CT studies
• Diagnosis/current symptoms
• Brief medical history
• Treatment history overview (surgery, chemotherapy, or radiation therapy)

To refer a patient, please click the link below and fax the completed form to the fax number provided.

Physician Referral Form