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University of Iowa Hospitals & Clinics (UIHC) – Department of Urology, Division of Pediatric Urology fax number

(319) 356-3900

Pediatric Urology (Division of Pediatric Urology), Department of Urology

Used for: Pediatric urology referrals; sending patient referral information and medical records to UIHC Pediatric Urology

Fax destination details

Department
Pediatric Urology (Division of Pediatric Urology), Department of Urology
Purpose
Pediatric urology referrals; sending patient referral information and medical records to UIHC Pediatric Urology
Form
Pediatric Urology – New Patient Referral Form — Pediatric Urology – New Patient Referral Form
Address
200 Hawkins Drive, Iowa City, IA 52242-1089
Voice phone
319-356-2421

Before you send

  • Confirm that this exact department handles your document or request.
  • Check the organization website or call its main line for the current fax number.
  • Include a cover sheet and any case, member, claim, or form reference required.
  • Keep the delivery confirmation with your submission records.

Sign the Release of Information, complete the referral form, and fax it along with requested medical records to the UIHC Pediatric Urology Office as soon as possible.

Official form instructions are published as a downloadable file on the organization's website.

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