Refer A Patient to Otolarygnology

Now Taking Physician Referrals

To refer your patient, please fill out the form below and click on the button labeled "Submit." We will contact you within 24-48 hours.

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Providers Outside 91�鶹��ֱ��

Fax voice disorder referrals to 801-587-3569. Fax otolaryngology and audiology referrals to 801-585-2500.

Referring Provider Information

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Please help us understand your patient's medical history. Has your patient had any of the following tests?

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