Current Referral Agencies

The following is the list of current referral agencies for Surgery on Sunday, Inc.:

Baby Health Services, Inc.
859-278-1781

Liberty Family Medical Center (Liberty)
606-787-5963 or 606-787-5545

Rescue Mission Health Clinic (Lexington)
859-381-9600 or fax 859-381-9603

Lincoln County Baptist Association (Stanford)
606-365-7123 or fax 606-365-2193

Nathaniel Mission Clinic
859-255-0062

NC AHEC (Lexington)
859-281-6086 or fax 859-254-9919
Contact: Rosa Martin at rosa.martin@kctcs.edu

St. Joseph Free Health Clinic
859-313-4517

Salvation Army Free Clinic
859-252-7706

The Hope Center Clinic
859-252-7881

Lexington/Fayette County Health Department
859-252-2371

Children Of The Americas, Inc
859-269-4721

Bluegrass Farm Workers Clinic
859-259-2635

Harrison County Health Center
859-234-2842 

Bethany House Abuse Shelter, Inc.
606-679-1553

Berea Health Ministry Clinic
859-986-1274

Scott County Health Department
502-863-3971

People Clinic Foundation, Inc. (Rowan County)
606-780-0140

Paragon Family Practice
859-278-8772

Manchester Center, Inc.
859-255-1047

Foothills Mobile Health Clinic
606-663-9011

White House Clinics (Richmond)
859-626-7703

Hope Clinic & Pharmacy (Danville)
859-239-2362

Chronic Pain Support Group, Inc.
859-252-2774
www.cpsginc.org

Liberty Family Medical Center (Liberty)
606-787-5963 or 606-787-5545

Wedco District Health Department/Scott County Health Department
502-863-3971

Adult & Tenant Services (Fayette County Goverment)
859-258-3814

Harrison County Health Department
859-234-2842

Paint Lick Family Clinic Inc.
859-923-2444

Bluegrass Community & Technical College Dental Clinic
859-246-6857

KY Homeplace Center for Rural Health-UK (Jackson)
606-666-7106

Berea Health Ministry Clinic
859-986-1274



Any patient who wishes to obtain services from Surgery on Sunday, Inc. must be referred by one of the agencies listed above. If you are interested in becoming a referral agency for our program, please fill out the form below. 


How To Become A Referral Agency (please fax all completed form to 859-246-1752)


Basic Forms For Referral Agencies
Referral / Intake Form
Informed Consent Form
Patient Verification Form

Please send all the above forms back to Surgery on Sunday, Inc. via the fax number provided at bottome of each form (1-859-246-1752). If you have any questions, please contact our office via phone at 859-246-0046 or e-mail us

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