UF Health Children's Hospital
e-Referral

Referral form

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Please use our convenient online electronic
referral form. For security and privacy issues,
please create an account before you begin.
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Children playing

Referrals can be submitted by fax using this form and sent to (352) 627-4415.

Referrals can be made by phone by calling
(352) 265-PEDS (7337).

The UF Health Access Center is available to speak with you during regular business hours (Monday-Friday, 8:00am-5:00pm EST).