Menopause Clinic Referral Form

Referring physicians and patients can both use the form below to request a consultation with the UW Health Menopause Clinic. A Menopause Clinic staff member will contact you within five business days.


PLEASE NOTE: before seeing a menopause specialist, we recommend women discuss their concerns with their primary care provider or a general obstetrician/gynecologist. If symptoms are severe, or the woman has a complex medical history or has not been able to regain quality of life with routine therapies, please contact the Menopause Clinic.


Please do not submit urgent questions about your medical care through this website. If you are experiencing a life- or limb-threatening emergency, call 911. If your need is urgent, call your clinic for assistance.


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