Refer Your Patient to Vagina Rehab Doctor

At The Vagina Rehab Doctor Clinic, we are committed to working closely with referring providers to ensure compassionate, evidence-based care for women experiencing vaginusmus, vulvodynia, pelvic floor dysfunction, sexual pain, and intimacy challenges.

After you fill out this referral form, we will contact your patient/client to get scheduled for a complimentary initial consultation.

Patient Referral Form