Biochemical Genetics (biochemical genetic disorders, Fabry, Gaucher, Krabbe, Pompe, lysosomal storage disorders) 
Phone: 206.598.1800 Fax: 206.598.1915 
 
Cancer Genetics
Phone: 206.598.8769 Fax: 206.598.3269
 
Self-referrals are not accepted. 
 
Cardiac Genetics Clinic (cardiomyopathy, familial arrhythmia, abnormal genetic test) 
Phone: 206.598.8069 Fax 206.598.7451 
 
To expedite the referral process, please complete this form. 
 
Connective Tissue Disorders 
Phone: 206.598.4030 Fax: 206.598.3269 
 
Please fill out the UW Medicine Referral Request Form and fax the form, ICD10 code(s), demographic sheet and relevant records to 206.598.3269. 
 
Please note that our providers do not see patients for evaluations for joint hypermobility or hypermobile EDS. 
 
Self-referrals are not accepted. 
 
Dermatologic Genetics 
Phone: 206.598.4030 Fax: 206.598.3269 
 
Please fill out the UW Medicine Referral Request Form and fax the form, ICD10 code(s), demographic sheet and relevant records to 206.598.3269. 
 
Self-referrals are not accepted. 
 
General Genetics 
Phone: 206.598.4030 Fax: 206.598.3269 
 
Please fill out the UW Medicine Referral Request Form and fax the form, ICD10 code(s), demographic sheet and relevant records to 206.598.3269. 
 
Self-referrals are not accepted. 
 
Muscular Dystrophy Genetics (abnormal genetic test, patient with a diagnosis or symptoms of muscular dystrophy, CMT, myopathy, hereditary neuropathy) 
Phone: 206.598.4295 Fax: 206.598.8332 
 
Neurogenetics 
Phone: 206.598.4030 Fax: 206.598.3269 
 
Please fill out the UW Medicine Referral Request Form and fax the form, ICD10 code(s), demographic sheet and relevant records to 206.598.3269. 
 
Self-referrals are only accepted for a Huntington’s disease diagnosis. 
 
Pediatric Genetics For pediatric referrals for dermatologic genetics, Turner syndrome or children of an existing patient of our genetics clinic. 
 
Phone: 206.598.4030 Fax: 206.598.3269 
 
Please fill out the UW Medicine Referral Request Form and fax the form, ICD10 code(s), demographic sheet and relevant records to 206.598.3269. 
 
For all other pediatric genetics referrals: 
 
Seattle Children’s Genetics: 
Phone: 206.987.2056 
Fax: 206.987.2495 
 
Mary Bridge Genetics: 
Phone: 253.403.3476 
Fax: 253.403.8674 
 
Self-referrals are not accepted. 
 
Prenatal Genetics (pre-conception counseling, AMA, miscarriages, risk for hemoglobinopathies, carrier testing, teratogen counseling, evaluation of fetus) 
Phone: 206.598.4070 Fax: 206.598.2359 
 
Renal Genetics Clinic (patient with a diagnosis of a kidney disorder, PKD, Alport syndrome - not renal cancer or tumors) 
Phone: 206.744.3622 Fax: 206.744.5087

Thank you for your partnership in patient care. 
You may call 206.598.0190 to reach the UW Heart Institute. 

Send a Patient Referral: 
To expedite the referral process, please complete this form.

If needed, click below for fax and phone numbers for each of our subspecialties and locations.

Referral Management: If you would like direct access to a read-only version of Epic PHI, please sign up for EpicCare Link at https://okta.uwmedicine.org. 

Referral Support: Contact the Heart Institute partnership manager at uwheart@uw.edu.

View the Fred Hutchinson Cancer Center.

To refer high-risk obstetrics patients to the Maternal and Infant Care Clinic at UW Medical Center: 
 
Call 206.598.4072 (Monday-Friday, 8 a.m. - 5 p.m), or complete the UW Medicine Referral Request Form and fax it to 206.598.2359. 

OB ULTRASOUND REFERRAL FORM 

To refer patients to the Family Planning Clinic at UWMC-Roosevelt: 
 
Call 206.598.5500, or complete the UW Medicine Referral Request Form and fax it to 206.598.8722. 
 
To transfer a patient or speak to a specialist, or for other urgent and after-hours requests: 
 
To transfer a patient call 800.520.7575 and you will be connected with a Maternal Fetal Medicine provider and Transfer Center nurse. Please fax your transfer patient’s records to UWMC Labor and Delivery at 206.598.7664. 
 
For more information about Perinatal Services patient referrals: 
 
Please contact physician liaison Enedina Dumas at 206.598.1944 or edumas@uw.edu. 

To contact the Prenatal Diagnosis, Perinatal Genetics and Fetal Therapy Program: 
 
Call 206.598.4072 (Monday-Friday, 8 a.m. - 5 p.m), or complete the UW Medicine Referral Request Form and fax it to 206.598.2359. 

For radiology orders, please call 206.598.5800.  
X-ray exams are walk-in only at all locations. No appointment is necessary for X-ray.  

Providers: Please include chart notes and prior authorization with order to expedite scheduling. 

UW Medical Center – Montlake, UW Medical Center – Northwest, Roosevelt Clinic and Eastside Specialty Center and NW Outpatient Medical Center Radiology Scheduling: 
Phone: 206.598.7200 Fax: 206.597.4004 

Call 8:00 a.m. - 6:00 p.m. for radiology appointments*, and please have your referral form or imaging order faxed prior to calling.

UWMC REFERRAL FORM

PET/CT REFERRAL FORM (for UWMC & HMC)

US OB REFERRAL FORM

Interventional Radiology Referrals:
Phone: 206.598.6209 Fax: 206.598.3581

INTERVENTIONAL RADIOLOGY REFERRAL FORM

Harborview Medical Center Radiology Scheduling:
Phone: 206.744.3105 Fax: 206.744.8206
Call 6:00 a.m. – 6:00 p.m. for radiology appointments*, and please have your referral form or imaging order faxed prior to calling.

HARBORVIEW REFERRAL FORM

Breast Imaging Scheduling:
Phone: 206.668.1749 Fax: 206.668.1790 for Roosevelt Clinic, Eastside Specialty Clinic and Breast Imaging Clinic at UWMC Northwest.

Please call 206.606.7800 to schedule a mammogram at Fred Hutchinson Cancer Center.

BREAST IMAGING UWMC REFERRAL FORM

Radiologist Consult Line (Medical Providers Only) for questions on ordering advice: 206.598.0101

To request radiology records: Visit Records & Images for information.

Kidney Transplant 
To evaluate your patient as a candidate for kidney transplantation, please provide the information and records faxed to UW Medical Center – Montlake Transplant Services: 

• Patient Demographics (Name, DOB, Contact information) 
• Referring Physician Name and NPI number 
• Patient H&P 
• Cardiac Testing (if available) 
• Recent Labs 
• Patient Insurance information (Insurer, Group #, ID #) 
• For dialysis patients, please include Medicare form 2728 (if available) 
• Download a copy of the Kidney Care referral form.  

Once we receive this information, our Patient Intake Coordinator will contact your patient. After we register your patient, you will be notified that the pre-transplant process has begun. Please feel free to call if you have any questions about the status of your patient’s referral. 
 
Phone 
206.598.3882 
 
Fax 
206.598.7176 
 
Address 
1959 NE Pacific Street 
Box 356174, Room EE404 
Seattle, WA 98195-6174 

Heart Transplant 
To have your patient evaluated for our Cardiac Transplant Clinic, please view our referral website or contact: Cardiac Transplant, phone: 206.598.8069; fax 206.598.7923 
 
Liver Transplant 
To have your patient evaluated for our Liver Transplant Clinic, download and complete the Liver Care Line Consultation Request form and fax it to 206.598.4287. If you have any questions about the program or want to schedule an appointment, call 206.598.4973. 
 
Lung Transplant 
To have your patient evaluated for lung transplantation, schedule an appointment or ask any questions about the program, call 206.598.5277. Please see our lung transplant referral form.