In order to achieve a smooth referral process, we have created interactive PDFs that can be filled out online, printed, and then faxed to Renown Health service lines.

Identify which service line you will be sending the referral to, download their referral form, and follow the instructions in the PDF.

ServiceFax NumberForm
Advanced Wound Care775-982-5103Download Form
Physical Therapy & RehabSee FormDownload Form
Outpatient Infusion775-982-4978Download Form
Outpatient Transfusion775-982-4978Download Form
Phlebotomy Order Set775-982-4978Download Form
Home Health Referral775-982-7567Download Form