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Referral Forms for Providers

REFER A PATIENT

Thank you for referring your patient to us. If you prefer, you may call 800-888-5533 to refer patients via the UK-MD phone line.


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.