Refer a Patient

IU Health is committed to working closely with referring providers in order to deliver the highest quality of care.

IMACS Toll-Free Direct Line

IMACS (Indiana Medical Access and Communication System) is a toll-free, direct line that gives referring providers 24/7 access to Indiana University faculty physicians for consultations, patient referrals, patient information or the latest research protocols.

Call 800.622.4989

Contact Provider & Office

To contact a specific provider: Please use the phone number listed in Find a Provider.

Refer a Patient Online

Lafayette area referral form for IU Health Arnett, IU Health Frankfort, IU Health White Memorial (or call 800.542.7818).
Muncie area referral form for IU Health Ball Memorial, IU Health Blackford, IU Health Jay.
Orthopedics and Sports Medicine referral form for Indianapolis and the greater suburban region.
For all other referrals, use the form below.

Referral Form

department

Urgency

This is an urgent request

Referring Physician

Referring Provider First Name*

Referring Provider Last Name*

Practice Phone Number*

Requested Physician

First Name

Last Name

Specialty

If no specific physician requested

Location Preference (City)

Patient Information

First Name*

Last Name*

Reason for Diagnosis*

Date of Birth (xx/xx/xxxx)*

Are You a Patient?

Looking to schedule an appointment? View our appointment scheduling options. If you have scheduling questions or other inquiries, call 888.484.3258.

Schedule an Appointment (For Patients)