Refer a Patient

If you are a UVA Epic user, please place an order through Epic.

Non-UVA Care Provider Referrals

If you are a non-UVA care provider wishing to refer your patient to UVA Health System, use one of the following options below:

Option 1: Call 1.800.552.3723 or 434.924.0434.

Option 2: Provide us with as much information as possible through the form below. A representative will work with the patient to identify any other required information and connect them to the appropriate contact for scheduling. This information may vary depending on the services requested and payor.

For all inpatient and emergency transfers, call 844.XFERUVA (844.933.7882).

Patient Self-Referrals

Are you a patient looking to request an appointment for yourself? Request an Appointment

* required fields
Patient Information

Gender *

Patient Contact Information
We will contact the patient at this number to help schedule the appointment.
Patient Insurance

Reason for Referral

Purpose of Referral *