American Family Children's Hospital

Request a Cyclists Clinic Evaluation

Whether you're an avid cyclist, recreational rider, tri-athlete or commuter, the UW Health Sports Rehabilitation Cyclists Clinic is committed to keeping you on the roads and trails.


Complete the form below to request an evaluation by our team of experts. You will be contacted by our staff to schedule the appointment. If you have not previously been a patient within the UW Health system, you may also be contacted by registration to create your electronic health record.


First Name *


Last Name *


Phone Number *

(Please include area code)


Best Time to Call *



e-mail Address *


Reason For Consultation *