Instructions for referring a patient to:
- Hepatitis C Clinic
- Hepatology Clinic
- Liver Transplant Clinic
To most expeditiously evaluate your patient, we will need the following information and records faxed to UWMC Liver Care and Transplantation Services:
- Patient Demographics (Name, DOB, Contact information)
- Patient SSN (This is required for Liver Transplant UNOS registration)
- Patient Insurance information (Insurer, Group #, ID #)
- Physician NPI number
- Patient HP
- Radiology reports
- Recent Labs
Download a copy of our LIver Care Line consultation form
Once we receive this information, our Program Coordinator will contact your patient. After we register your patient, you will also be notified.
For patient self-referrals we request that records from your physician are sent at the same time of your referral.
Please feel free to call if you have any questions about the status of your patient’s referral.
Address: 1959 NE Pacific Street, Box 356175
Seattle, WA 98195-6174