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Refer a Patient

To our primary care partners in the following counties: Dane, Rock, Green, Lafayette, Iowa, Grant, Richland, Sauk, Columbia, Dodge, Jefferson and Walworth.

To refer your patient to the Specialty Care Free Clinic, simply click, print, complete and fax the appropriate referral form with pertinent information to 608-827-2344.

Graphic of southern Wisconsin counties that are served by Specialty Care Free Clinic.

We ask that you also print and provide your patient with our short information sheet explaining next steps. These are available in two languages:

Currently available at Specialty Care Free Clinic for adults and specialist-approved 14-17 year olds:

  • Dermatology

  • Diabetic Nurse Education

  • Cardiology

  • Chiropractice

  • Endocrinology

  • ENT

  • General Surgery

  • Gynecology (not including infertility issues)

  • Hepatology

  • Mental Health

  • Nephrology

  • Neurology

  • Ophthalmology

  • Optometry

  • Orthopedics

  • Palliative Care

  • Physical Therapy (including pelvic floor and dry needling)

  • Podiatry

  • Psychiatry

  • Pulmonology

  • Rheumatology

  • Sports Medicine

  • Urology (not including infertility issues)

Appointment availability and wait times may vary by specialty.

Please don’t hesitate to contact us directly if we can better assist your referral process!

Exam room at Specialty Care Free Clinic in Madison Wisconsin.
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