American Family Children's Hospital

Request a Runners Clinic Evaluation

Complete the form below to request an evaluation by our team of Runners Clinic 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 *