Outpatient referrals – Refer your patient now

Radiology / imaging requests and referrals
  • Option one (no Electronic Medical Record): read all information on this PDF form, then submit the completed form via email or via fax to 720.848.1651.
  • Option two (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.

If you have any questions regarding a patient referral, please contact the clinic directly.

DocLine – Transfers, direct admits and consultations

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
At UCHealth, we do things differently

We strive to promote individual and community health and leave no question unanswered along the way. We’re driven to improve and optimize health care. Our network of nationally-recognized hospitals, clinic locations and health care providers extends throughout Colorado, southern Wyoming and western Nebraska.

Our success is defined by more than our patient volumes or treatment outcomes. It’s about building a team of exceptional people, from our clinical staff to our expert physicians, who consistently do what is right for the individuals we are honored to serve.