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)*

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.

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.

Respiratory Virus-Related Restrictions: Visitor Information

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

Call 800.622.4989

Contact Provider & Office

Refer a Patient Online

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