Refer Via Fax

Faxed referrals are secure and may contain confidential information. We will follow up with you by telephone to obtain any information needed to complete the referral.

  • Step 1: Complete the referral form.
  • Step 2: Fax it to (319) 356-4428.
  • Step 3: Respond to any additional requests for information.

For technical assistance, please contact UI Consult by phone at (800) 322-8442 or by email at