Referrals to SRMC Providers

Find contact information and referral forms for UNM Sandoval Regional Medical Center clinics.

Bariatric Surgery Referrals

Charles Bellows, MD (also General Surgery)

Clinic Fax: 505-994-7252
Clinic Phone: 505-994-7397

Bariatric Surgery Referral Form [PDF]

Breast Surgery Referrals

Stephanie Fine, MD

Clinic Fax: 505-994-7252
Clinic Phone: 505-994-7397

Breast Surgery Referral Form [PDF]

Cardiology Referrals

Hamid Hai, MD

Clinic Fax: 505-994-7495
Clinic Phone: 505-994-7397

Cardiology Referral Form [PDF]

ENT/Otology Referrals

Brad Pickett, MD (ENT and Otology)

Clinic Fax: 505-994-7497
Clinic Phone: 505-994-7397

ENT Referral Form [PDF]

Family Practice

Paul Afek, MD
Shane Cass, DO (also Sports Medicine)
Anthony Fleg, MD
Kevin Henry, MD
Aaron Skiles, CNP
Celia Valdez, MD

Clinic Fax: 505-994-7497
Clinic Phone: 505-994-7397

Gastroenterology (GI) Referrals

Dino Beduya, MD
Michael Gavin, MD
Archana Kaza, MD

Clinic Fax: 505-994-7495
Clinic Phone: 505-994-7397

GI Referral Form [PDF]

General Surgery Referrals

Akin Beckley, MD (also breast surgery)
Charles Bellows, MD (also Bariatric Surgery)
Timothy Nelson, MD (PD Cath Specialist)
Vinay Rai, MD (also Colorectal Surgery)

Clinic Fax: 505-994-7252
Clinic Phone: 505-994-7397

General Surgery Referral Form [PDF]

Gynecology Referrals

Tony Ogburn, MD
Brenda Pereda, MD
Barbara Franklin, CNP (also Urology)

Clinic Fax: 505-994-7251
Clinic Phone: 505-994-7397

Gynecology Referral Form [PDF]

Nephrology Referrals

Eduardo Alas, MD
Christos Argyropoulos, MD
Zhi Xu, MD

Clinic Fax: 505-994-7495
Clinic Phone: 505-994-7397

Nephrology Referral Form [PDF]

Neurosurgery/Physiatry Referrals

Fred Harrington, MD – Neurosurgeon
Sunita Rajput, DO – Physiatrist
William Rivers, DO – Physiatrist
Peter Shin, MD – Neurosurgeon

Clinic Fax: 505-994-7256
Clinic Phone: 505-994-7336

Neurosurgery Referral Form [PDF]

Orthopaedics & Sports Medicine

Dustin Briggs, MD – Hip and knee replacements for ages 45 and older
Cory Carlston, MD – Care of hand, wrist, forearm and elbow, micro-vascular injury, trauma, reconstruction, carpal tunnel, ganglion cysts and nerve injuries for all ages
Shane Cass, DO – Sports Medicine Clinic: Joint injections, knee and shoulder pain and non-surgical sports injury care for ages 11 and up (also Family Practice)
Urvij Modhia, MD – Orthopaedic trauma and fractures or degenerative deformity conditions of cervical spine and lumbar spine (ages 7 and up for general ortho, ages 18 and up for spine)
Charlotte Orr, MD – Musculoskeletal trauma (injuries/fractures), surgical shoulder problems, carpal tunnel, trigger finger and ganglion cysts

Clinic Fax: 505-994-7252
Clinic Phone: 505-994-7397

Orthopaedics Referral Form [PDF]

Plastic Surgery Referrals

Anil Shetty, MD

Clinic Fax: 505-994-7252
Clinic Phone: 505-994-7397

Plastic Surgery Referral Form [PDF]

Pulmonology Referrals

Theresa Heynekamp, MD
Lana Melendres-Groves, MD

Clinic Fax: 505-994-7495
Clinic Phone: 505-994-7397

Pulmonology Referral Form [PDF]

Rheumatology Referrals

Arthur Bankhurst, MD
Roderick Fields, MD

Clinic Fax: 505-994-7495
Clinic Phone: 505-994-7397

Rheumatology Referral Form [PDF]

Sleep Medicine Clinic Referrals

Sushma Dharia, MD
Kenneth Imerman, MD (also Neurology)

Sleep Clinic Fax: 505-994-7495
Sleep Lab Fax: 505-994-7861
Clinic Phone: 505-994-7397

Sleep Medicine Clinic Referral Form [PDF]

Urogynecology Referrals

Gena Dunivan, MD
Peter Jeppson, MD
Yuko Komesu, MD

Clinic Fax: 505-994-7251
Clinic Phone: 505-994-7397

Urogynecology Referral Form [PDF]

Urology Referrals

Frances Alba, MD
Barbara Franklin, CNP (also Gynecology)

Clinic Fax: 505-994-7251
Clinic Phone: 505-994-7397

Urology Referral Form [PDF]