Referral Form for Physicians
Thank you for referring your patient to UK HealthCare. Please fill out and
submit the secure form below to begin the referral process.
After you submit this form, you will receive a phone response within 24 hours,
excluding weekends and holidays.
You may also refer patients by phone by calling UK-MDs at 859-231-9922
or 1-800-888-5533 or by printing and faxing this form to