Refer Pediatric Patients 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