Referral Forms for Providers
Thank you for referring your patient to us. Use the button below or call UK-MDs at 800-888-5533.REFER A PATIENT
EpicCare Link is the preferred method for submitting online referrals. Other online referral forms will be taken down soon. If you currently do not have access to EpicCare Link, please complete an application by clicking here. In order to submit a referral or receive patient notifications, the provider must also have a completed EpicCare Link application on file. For more information, please contact the Physician Liaison Program at 859-323-0736.
Department-specific referral forms
If referring a patient to one of the areas below, complete and submit the department-specific form only. You do not need to complete the standard form.
If you are a patient, please use our appointment form.
Gill Heart & Vascular Institute
Markey Cancer Center
- Clinical Genetic Counseling Referral Guidelines
- Molecular Tumor Board Referral - Learn more about the Molecular Tumor Board and submitting a patient's case.
- Precision Medicine Clinic Referral Form
To make a patient referral, please complete the following form and fax it to 859-257-0260.