We are dedicated to collaborating with referring physicians in our community through communication, education and outreach. We strive to meet and exceed expectations for excellent customer service.
If you have questions or concerns regarding referring your patient, please contact our referral outreach specialist.
Email: Hannah Marcus, Referral Outreach Specialist (firstname.lastname@example.org)
This email is for referral and physician relations general correspondence only. For urgent issues and patient health information, please contact the specific specialist office directly.
How to Refer a Patient
- If your office has EPIC access, referral requests may be entered directly into EPIC.
- If your office does not have EPIC access, please call or fax the referral request directly to the Polyclinic specialty office.
- You may also provide your patient with the specialty/specialist contact information directly for scheduling their visit at The Polyclinic.
Download our referral forms below to refer a patient to any of our specialty medical providers. Updated Winter 2017.
- Primary Care Referral Form
- Specialty (A-O) Referral Form
- Specialty (P-Z) Referral Form
- Specialists Who Treat Pediatric Patients Referral Form
- Diagnostic Imaging Referral Form
- Reverse Sequence Syphilis Screening – Lab Services
Connect With Us
- New Patient Services - 206-329-1777
- Switchboard - 206-329-1760
- Referral Outreach Specialist
- Phone: 206-860-4754
- Email: email@example.com
- Clinic Locations
- Specialties and Services
This quarterly publication provides updates for medical professionals about services at The Polyclinic. Read past issues below:
If you are a medical professional and would like to receive Colleagues Connect, please email our referral specialist.
- View Internal Medicine and Family Medicine providers accepting new patients.
- Meet our new Polyclinic physicians who have joined us in the past 12 months.