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Now Taking Physician Referrals

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

To the Anterior Skull Base Tumor Team

To refer a patient for a consultation with the anterior skull base tumor team, please fill out the below form and click "submit". 

Patient Information

Patient's Full Name
Gender

Please Note:

Not all insurance companies are considered in network”, please have the patient to call their insurance company by calling the number on the back of their card to confirm coverage using UUHC Tax id #876000525 and NPI #1588656870.

Is Patient Open to Virtual Visits if Possible?
Is Imaging Available?

Please fax or have medical records faxed to 801-585-6087.

Please send recent imaging via Powershare to University of Utah Health. If you don’t have a Powershare account, please use this link to send images.