Refer a Patient

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

To expedite the referral process please complete this form.

If you are unable to complete the form, please fill out the UW Medicine referral form and fax the form, ICD10 code(s), demographic sheet and relevant records to 206.598.3269.

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

To expedite the referral process please complete this form.

If you are unable to complete the form, please fill out the UW Medicine referral 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.

Dermatologic Genetics
Phone: 206.598.4030 Fax: 206.598.3269

To expedite the referral process please complete this form.

If you are unable to complete the form, please fill out the UW Medicine referral form and fax the form, ICD10 code(s), demographic sheet and relevant records to 206.598.3269.
 
General Genetics
Phone: 206.598.4030 Fax: 206.598.3269

To expedite the referral process please complete this form.

If you are unable to complete the form, please fill out the UW Medicine referral form and fax the form, ICD10 code(s), demographic sheet and relevant records to 206.598.3269.

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

To expedite the referral process please complete this form.

If you are unable to complete the form, please fill out the UW Medicine referral form and fax the form, ICD10 code(s), demographic sheet and relevant records to 206.598.3269.

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

To expedite the referral process please complete this form.

If you are unable to complete the form, please fill out the UW Medicine referral 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

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.

View the Seattle Cancer Care Alliance referral resources.

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 form and fax it to 206.598.2359.

To refer patients to the Family Planning Clinic at UWMC-Roosevelt:

Call 206.598.5500, or complete the UW Medicine referral 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 form and fax it to 206.598.2359.

For radiology orders, please call 206.598.5800.

UW Medical Center – Montlake, UW Medical Center – Northwest, Roosevelt Clinic and Eastside Specialty Center radiology scheduling:
Phone: 206.598.7200 Fax: 206.597.4004
Call 8:00 a.m. - 5:00 p.m. for radiology appointments*, and please have your referral form or imaging order faxed prior to calling.

Harborview Medical Center radiology scheduling:
Phone: 206.744.3105 Fax: 206.598.7690
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.

Radiologist Consult Line (Medical Providers Only): 206.598.0101

*To schedule a mammogram directly please call 206.668.1749 for Roosevelt Clinic, Eastside Specialty Center and Breast Imaging Clinic at UWMC Northwest. Please call 206.606.7800 to schedule a mammogram at Seattle Cancer Care Alliance.

Harborview referral form

UWMC referral form

PET/CT Referral Form

Breast Imaging Clinic - UWMC NW Referral Form

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 or 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.