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

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

To contact a specific provider, please use the phone number listed in Find a Provider.

To refer a patient in the Lafayette area, call 765.448.8100 or toll-free 800.542.7818. Learn more.

IMACS

Phone: 317.916.3500
Toll free: 800.622.4989
Referral Form: See below

For routine consultations or referrals, please call IMACS Monday-Friday from 8 am - 5:30 pm

For emergency consultations or referrals, IMACS operates 24 hours a day, seven days a week.

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)*

Submitting...

Thank You for Your Referral

Your referral has been submitted. You will receive a confirmation once the appointment has been scheduled.

Refer another patient

Are You a Patient?

Looking to schedule an appointment? View our appointment scheduling options. If you have scheduling questions or other inquiries, call 800.248.1199.

Schedule an Appointment (For Patients)

Physician Liaison Consultation

IU Health strives to provide the highest level of satisfaction every time a physician refers a patient to an IU Health provider or facility. If you are a patient with questions about scheduling, view scheduling options or call 800.248.1199.

Physician Liaison Consultation

IU Health strives to provide the highest level of satisfaction every time a physician refers a patient to an IU Health provider or facility. If you are a patient with questions about scheduling, view scheduling options or call 800.248.1199.

Refer a Patient

IMACS

Referral Form

Referring Physician

Requested Physician

Patient Information

Thank You for Your Referral

Are You a Patient?

Physician Liaison ConsultationSlice

Physician Liaison Consultation

Physician Liaison Consultation