Refer a Patient for Dermatology Services

Call  801-581-2955
Refer a Patient

Now Taking Physician Referrals

Learn more about patient safety precautions, virtual visit options, and referring physician resources.

Thank you for contacting Dermatology Services at University of Utah Health. We value our relationship with referring physicians.

To refer a patient, please fill out your patient's personal information below and click on the button labeled "Submit".

Referral Form

Referring Provider Information
Referring to Information
Would You Like to Request a Specific Provider?
Urgency Rating
Patient Information
Full Name
Gender
Interpreter Needed?