Refer a Patient for an Outpatient Specialty Clinic Appointment

Need Help?
(608) 263-8013

UW Health offers services at more than 80 specialty clinics. If you are a physician or health care professional looking to refer a patient for outpatient care, please use one of the following options.

 

For URGENT referrals, please call the appropriate UW Health specialty clinic directly to schedule an appointment. Browse our Clinics and Hospitals listing or Find a Doctor.

 

Online

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

FAX: Complete the Request for Clinic Appointment Form (pdf)
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

 

PHONE: To find a number, options include:

 

How the "Request for Clinic Appointment Form" Referral Process Works

 
To refer a patient via fax, please:
To refer a patient via the online form, please:
  • Complete the entire form.
  • Fax a copy of any pertinent clinical information, including lab and radiology results, to (608) 203-2661 or (888) 875-8490.
  • Inform the patient that we will contact him/her to schedule the appointment.
Once the form is received, it will be reviewed and processed. To confirm receipt of the form, you will receive one of the following:
  • An Appointment Status form. UW Health will contact the patient to arrange the appointment. A fax will be sent to you to notify you of the status of the appointment.
  • A Request for Additional Information form. If additional information is needed in order to schedule an appointment, a fax will be sent to you to request this information.
  • A phone call to request additional information or to communicate appointment information.