Refer a Patient for Specialty Services

Note: These forms are for use by providers who are referring their patients to MUSC Health. 

• Adult Hematology Referral
• Digestive Disease Center Consult Procedure Referral Checklist
• GYN Oncology Referral Form
• MOMs Diabetes Referral Request
• Movement Disorders Program
• New Onset Seizures - Comprehensive Epilepsy Center
• Prenatal Wellness Center Referral
• Vascular & Interventional Radiology Services

Center for Osteoporosis & Bone Health Forms

• Osteoporosis Center Referral
• Rheumatology Referral
• Scleroderma Referral

Pediatric Referral Forms

• Pediatric Gastroenterology Referral
• Pediatric Infectious Disease Clinic
• Pediatric Kidney or Liver Transplant
• Adolescent Medicine and Eating Disorders Program Referral
• Children’s Cancer and Blood Disorders Referral Form

Transplant Referral Forms

• Advanced Heart Failure and Transplant
• Kidney / Pancreas Transplant
• Liver Transplant
• Lung Transplant Referral Form
• Pancreas Transplant
• Post Liver Transplant Follow Up
• Post Renal/Pancreas Transplant Follow Up