Referral Forms for Providers

Thank you for referring your patient to UK HealthCare. EpicCare Link is the preferred method for submitting referrals. It significantly expedites the referral process by going directly into the scheduling work queue and is less time consuming and easier to submit.

If you do not have EpicCare Link access, please contact your Link Site Administrator at your location or request access. In order for staff to be able to submit referrals and for patients to be connected back to your practice, each provider needs a completed EpicCare Link application even if they are not going to utilize the system. It can take up to three weeks for new user applications to be processed. Once IT has set up your account, your log in credentials will be emailed to you. In the interim, you can continue to use the Refer a Patient button below or call UKMDs at 800-888-5533; however, the plan is to discontinue faxing and the web-based referral form once users are set up on EpicCare Link.

Refer a Patient EpicCare Link Log In EpicCare Link Access Request

For more information regarding EpicCare Link, please download the document below or contact the Physician Liaison Program at 859-323-0736.

EpicCare Link Information Sheet (PDF, 404.39 KB)

Department-specific referral forms

EpicCare Link is the preferred method for submitting referrals. It significantly expedites the referral process by going directly into the scheduling work queue and is less time consuming and easier to submit. If you currently do not have access to EpicCare Link, you may complete and submit the department-specific forms below until your EpicCare Link application is approved and your log in credentials are received.

If you complete one of the department-specific forms, you do not need to submit any other type of referral form. Only use one method to submit a referral.

If you are a patient, please use our appointment form.