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Referring a Patient to the Transgender Health Program

Thank you for referring a patient to University of Utah Health Transgender Health Program. If you are a University of Utah Health provider, please create a referral order for CN0391 AMB — Referral to Transgender Services in Epic. Also, please leave the reason why you are referring the patient and the services being requested by the patient in the comments section of Epic. 

If you are an outside provider, please fill out this form below and click “Submit”. We will contact you in 1-2 business days.

Referring Provider Information

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Or Call 801-213‑2195