Refiera a su paciente

How to refer your patient to a UCHealth outpatient clinic

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Neuroscience referrals
Orthopedic referrals
Cardiovascular referrals
Oncology referrals
Derivaciones de trasplantes
Outpatient referrals
Neuroscience referrals

Neuroscience referrals

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Refer your patient to a UCHealth neuroscience clinic
Orthopedic referrals

Orthopedic referrals

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Refer your patient to a UCHealth orthopedic clinic
Cardiovascular referrals

Cardiovascular referrals

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Refer your patient to a UCHealth cardiovascular clinic
Oncology referrals

Oncology referrals

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Refer your patient to a UCHealth oncology clinic
Derivaciones de trasplantes

Derivaciones de trasplantes

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Refer your patient to a UCHealth transplant clinic
Other outpatient referrals

Other outpatient referrals

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Refer your patient to a UCHealth outpatient clinic

DocLine - Transfers and direct admits

DocLine de UCHealth cuenta con personal de enfermería registrado que está disponible las 24 horas del día, los 7 días de la semana para ayudar y facilitar todas las fases de la transferencia, incluido el contacto de médico a médico, el registro, la asignación de camas, la facilitación del transporte de pacientes y los informes de RN a RN.

Call DocLine at 1.844.285.455
Local alternate: 720.848.2828

Radiology and imaging and referrals

To order outpatient radiology imaging for a patient please print and fill out this form OR you may use your company’s standard radiology order form. To prevent delays in processing and scheduling, please include relevant supporting documentation with the imaging order and send it to the Ordering Provider Support Team via email

For routine orders, please allow 1-2 business days for processing and then instruct patients to call 844-RAD-APPT to schedule their appointment.

Orders forms should include: 

  • The patient’s full name
  • The patient’s date-of-birth
  • Modality and exam name
  • Diagnosis/ICD-10 code
  • The provider's name written legibly, as well as the provider’s signature. Electronic signatures are acceptable and must include a time and date stamp.   

Clinical Documentation

Current progress notes (within the last 90 days) are generally required for CT, MRI and Nuclear Medicine imaging. Relevant prior imaging result reports, laboratory results, and other clinical documentation may also be required.

Demographic Information

Please send the patient demographics and current insurance information.

Referencias a clínicas ambulatorias

This outpatient clinic referral form is available for all UCHealth clinics. Referral transcription specialists will process referrals within 24-48 hours of referrals being placed.

If you have any questions regarding a patient referral, please contact the clinic directly.

Referral for an outpatient clinic appointment

Información al paciente

MM slash DD slash YYYY

Referring provider information

Recomendación

Please send any supplemental records to [email protected].

Título modal

Radiology and imaging and referrals

To order outpatient radiology imaging for a patient please print and fill out this form OR you may use your company’s standard radiology order form. To prevent delays in processing and scheduling, please include relevant supporting documentation with the imaging order and send it to the Ordering Provider Support Team via email

For routine orders, please allow 1-2 business days for processing and then instruct patients to call 844-RAD-APPT to schedule their appointment.

Orders forms should include: 

  • The patient’s full name
  • The patient’s date-of-birth
  • Modality and exam name
  • Diagnosis/ICD-10 code
  • The provider's name written legibly, as well as the provider’s signature. Electronic signatures are acceptable and must include a time and date stamp.   

Clinical Documentation

Current progress notes (within the last 90 days) are generally required for CT, MRI and Nuclear Medicine imaging. Relevant prior imaging result reports, laboratory results, and other clinical documentation may also be required.

Demographic Information

Please send the patient demographics and current insurance information.