How to Order a Radiology Exam or Procedure

More Information for Referring Physicians

How to Refer a Patient to UW Health

UW Health Radiology provides the highest standard of care by exceptionally qualified medical and technical staff using state-of-the-art technology.


OnlineONLINE: Complete the Online Order for a Radiology Exam/Procedure


Fax FAX: Complete the Order for a Radiology Exam/Procedure (pdf)


Please print and fax the form to (608) 662-4583 or toll-free to (844) 662-4583.




If you have questions about ordering radiology exams or procedures, please call (608) 287-2050 or (608) 263-9729.