Thank you for referring your patient to us.
Click this button to refer patients to most areas within UK HealthCare:
Standard Provider Referral FormIf 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.)
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Markey Cancer Center
Clinical Genetic Counseling
- Clinical Genetic Counseling Referral Form (PDF, 95 KB)
- Clinical Genetic Counseling - Referral Guidelines (PDF, 100 KB)
Precision Medicine Clinic
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Transplant
- Kidney and Pancreas Referrals (PDF, 73 KB)
- Vascular Access Consultation Request Form (PDF, 55 KB)
- Liver Transplant Consultation Request Form (PDF, 75 KB)
- Heart Transplant and Ventricular Assist Device Referral Checklist (PDF, 122 KB)
- Heart Transplant and Ventricular Assist Device Consultation Request Form (PDF, 60 KB)
- Lung Transplant Referral Form (PDF, 65 KB)