Request for Clinic Appointment

In a recent referring provider satisfaction survey, UW Health received an increase in positive feedback regarding appointment accessibility and communication.

While the results are encouraging, we continue to look for new ways to expedite the referral process for your and your patients.

In a response to referring provider feedback, UW Health now has one standardized appointment request form that can be used to refer a patient to any adult or pediatric outpatient specialty clinic.

In addition, there are now three easy ways to request a specialty appointment:

	ONLINE: Complete the Online Request for Appointment Form This form can be used when referring a patient to any of the UW Health pediatric or adult specialty clinics.
	FAX: Complete the Request for Appointment Form This form can be used when referring a patient to any of the UW Health pediatric or adult specialty clinics. Please fax the form to (608) 203-2661 or toll-free at (888) 875-8490.
	PHONE: Call the clinic directly. Directory (pdf)

* For URGENT referrals, please call the appropriate UW Health specialty clinic directly to schedule an appointment.