Referral Forms

To refer a patient or to consult with a physician at The University of Kansas Hospital in any department, please use the forms and contact information listed below.

If you are interested in referring your patient to The University of Kansas Hospital, or to consult with a physician in any department, please call 913-588-5862 or toll-free 877-588-5862. Our physicians are also available for consultation 24 hours a day, seven days a week.

Download and print

Additional referral information

For more help getting patient appointment forms, please use the contact information listed below.

Call for copies: 913-588-5862, toll-free 877-588-5862

Request by fax: 913-588-5785

Request by email: