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.
REFER A PATIENT
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.
-
Markey Cancer Center
- Clinical Genetic Counseling Referral Guidelines
- Clinical Genetic Counseling Referral Form (PDF, 95 KB)
- Molecular Tumor Board Referral - Learn more about the Molecular Tumor Board and submitting a patient's case.
- Precision Medicine Clinic Referral Form
- Hematology/BMT Referral Form (PDF, 71KB) - Refer your patients to Markey's Hematology and BMT Clinic using the attached form. Please fax completed forms to 859-323-5822.
-
Transplant Center
- Kidney/pancreas fax referral form (PDF, 113 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)