WorkLink Pre-Certification Request To inquire about the status of a pre-certification, please complete the following form: Patient Name* First Last Date Seen MM slash DD slash YYYY Which physician did the patient see? Dr. Patrick M. Bolt Dr. Colin D. Booth Dr. Paul C. Brady Dr. Daniel G. Branham Dr. E. Brantley Burns Dr. Michael T. Casey, Jr. Dr. Harold E. Cates, Jr. Dr. Richard B. Cunningham Dr. Ryan L. Dabbs Dr. Sean Patrick Grace Dr. Conrad B. Ivie Dr. Bradley P. Jaquith Dr. Edward K. Kahn Dr. John N. Lavelle Dr. Paul T. Naylor Dr. Rick E. Parsons Dr. Tracy A. Pesut Dr. Jean-François P. Reat Dr. Timothy J. Renfree Dr. John M. Reynolds Dr. Randall R. Robbins Dr. J. Christopher Shaver Dr. Paul F. Yau Dr. Samuel Yoakum Date of Birth* MM slash DD slash YYYY My Email Address My Phone NumberMy Fax NumberReferrer? NameThis field is for validation purposes and should be left unchanged.
