Refer a Patient
To refer a patient to a UW Medicine physician, please complete the form below. If you prefer, you may complete the
PDF version of the form. For questions about referrals, please contact the UW Medicine Contact Center at
1.877.520.5000 toll free. The Contact Center's hours of operation are Monday - Friday: 6:30 a.m. to 8 p.m., Saturday: 7 a.m. to 8 p.m., and Sunday:
8 a.m. to 5:30 p.m.
*Indicates a required field.
Thank you for submitting your information to UW Medicine.
Someone will reply to your request soon.
Thank you for submitting your . The form will reload and the data elements from the last submit will be maintained for your convenience in submitting additional ones.
Please review - Some of the information you have entered did not match the requirements.
Thank you for considering UW Medicine.