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Refer a Patient: Sports Medicine

Now Taking Physician Referrals

ÑÇÖÞ×ÔοÊÓƵ of Utah ÑÇÖÞ×ÔοÊÓƵ's sports medicine program is here to assist community physicians and specialists with consultation and referral services. To refer your patient, please fill out the information below and click on "Send Request". You will receive a response within one business day. Please note that we can only respond to your request during normal business hours, 8am—5pm, Monday—Friday.

FAX: 801-581-4404

Sport Medicine Referral Form

Referring Provider Name
Patient Name
Patient Address