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Referral Forms for Providers

The COVID-19 health crisis has affected clinic operations throughout UK HealthCare. Please see our information for referring providers.

Thank you for referring your patient to us. Use the button below or call UK-MDs at 800-888-5533.

COVID-19 vaccinations are now available to children 12-15 and anyone age 16 and over at UK HealthCare vaccination locations operated by UK Pharmacy Services. Ask your patients to submit a request for vaccination at They may call 859-218-0111 if they need help filling out the online form.

Department-specific referral forms

If referring a patient to one of the areas below, complete and submit the department-specific form only. You do not need to complete the standard form.

If you are a patient, please use our appointment form.