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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.

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.