Patient Referral
Refer your patient to Upperline Health
Download the referral form, select an Upperline clinic, and fax the completed form.
How to refer a patient
Our care team will contact the patient directly to schedule their visit.
1. Download referral form
Download and complete the Upperline Health patient referral form.
2. Choose a clinic
Find the Upperline clinic closest to your patient.
3. Fax a completed form
Send the completed referral form to the clinic using the listed fax number.
Why Refer to Upperline Health
Upperline Health works alongside your care as an extension of your team to connect patients to the right specialty services and keep them on track beyond the visit.
Specialty care that works in sync
Primary and specialty care work together to close gaps and improve continuity of care.
Follow-through beyond the visit
We stay involved beyond the visit, managing scheduling, coordination, and ongoing care so patients stay engaged and follow through on next steps.
Clear, consistent communication
You stay informed with timely updates throughout your patient’s care.
Find a Clinic Near Your Patient
Search by location to find the closest Upperline clinic and access referral details.