(414) 266-2000

Urgent Care & ER


Specialty clinic referral forms

Most specialties do not require a referral form, and appointments can be made directly through Central Scheduling. Forms for the specialties that require or recommend a referral form due to the high volume or complex nature their patients are below.

  • Endocrine: a form is not required. See these referral tips.
  • Headache: a form is not required. Referrals can be made by calling Central Scheduling at (414) 266-5280
  • Neurology
  • Pain: a form is not required. Referrals can be made by calling Central Scheduling at (414) 266-5280
  • Psychiatry and Behavioral Medicine Center*

*Note: Due to special requirements for mental health referrals, the parent/guardian must contact the center at (414) 266-3339 once the referral has been faxed to complete the intake and scheduling process. You now have the option to obtain the parent/guardian signature (if the patient is age 14 or older) at the time of referral to authorize the Psychiatry Center to communicate with you about the referral. Call the Psychiatry Intake line at (414) 266-3339 with questions. 

Outpatient forms

In order to view the forms and consents, you must have version 4 or higher of Adobe Acrobat Reader installed on your computer.
  • A A A

    Text Size

  • Print Page

Physician referral and consultation

(414) 266-2460

Toll free: (800) 266-0366
  • Refer a patient
  • Discuss a case
  • Arrange a direct admission
  • Arrange a transport
  • Staffed 24 hours a day for urgent and nonurgent needs

Referring Provider App


CHW Refer - The Pocket Directory on your phone

CHW Refer puts all the information you are used to finding in our popular Pocket Directory on your phone. Find our specialists by searching by name or specialty. Learn more.

Schedule an appointment for patients

Central Scheduling - Outpatient
Specialty Appointments
Monday - Thursday 7:30 a.m. - 7 p.m.
Friday 7:30 a.m. - 5:30 p.m.
(414) 607-5280

Request an Appointment