Physician Referral

To refer a patient for an appointment, please complete the form below and your patient will be contacted for scheduling. Fax referral forms may be sent to 303.270.2162.

You may also contact our Physician Line at 1.800.652.9555, Monday - Friday, 8:00 am to 5:00 pm Mountain Time or physicianline@njhealth.org.

For mycobacterial disease referrals, complete the Mycobacterial Referral/Consult form.

Other resources: Order a test | General Physician Consults |

Provider Information

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Patient Information
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PLEASE NOTE: Our system does not accept attachments. If you attempt to attach a document, the information will not be processed.