UCHealth’s DocLine is staffed with registered nurses who are available 24/7 to assist and facilitate all phases of transfer and consultation, including physician-to-physician contact, registration, bed assignment, facilitation of patient transport, and RN-to-RN reporting.
Call DocLine at 1.844.285.4555
Local alternate: 720.848.2828
One call gives you access to any UCHealth hospital:
- Broomfield Hospital
- Grandview Hospital
- Longs Peak Hospital
- Medical Center of the Rockies
- Memorial Hospital Central
- Memorial Hospital North
- Poudre Valley Hospital
- University of Colorado Hospital
- Yampa Valley Medical Center
Option 1: (no Electronic Medical Record) fill out all information on this PDF form, then submit the completed form via email or via fax to 720.848.1651.
Option 2: (Electronic Medical Record on hand): From the EMR, you may send signed physician orders with ALL supporting clinical documentation/records (REQUIRED), especially if UCHealth is attempting to obtain authorization for you. This may include current progress notes, imaging reports, or any other relevant documentation.
Send this information via email or via fax to 720.848.1651. Please be sure to include updated patient demographics, including phone number, address, and updated copy of insurance card.
UCHealth internal referrals, please use EPIC.
(Radiology and imaging referrals, please follow the procedures on this page related to this service line.)
This outpatient clinic referral form is available for all UCHealth clinics including the following regions.
- Metro Denver
- Northern Colorado
- Colorado Springs
- Steamboat Springs
Physician referral liaisons will process referrals within 24-48 hours of referrals being placed.
If you have any questions regarding a patient referral, please contact the clinic directly.