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My Sanford Nurse

Talk with a Sanford nurse over the phone.

Call My Sanford Nurse

Walk-In

Know where to go for urgent, non-emergency care.

View Locations

E-Visit

Email a provider through My Sanford Chart.

Start an E-Visit

Video Visit

Visit with a doctor over your webcam.

Start a Video Visit

View All Care Options

Referral Center

The Sanford Health Referral Center makes it easy to for you to find just the right colleague for your patient's needs. When you call the referral center, your request will be taken and the right specialist to care for your patient will quickly be found. The referral center does all the legwork, contacting the specialist’s clinic and assisting in making the patient’s appointment. This leaves you to focus on what you do best, providing excellent care to your patients.

Thank you for referring your patient to Sanford Health. For more information, please call: (844) 851-1515

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Patient Information

Last Name*

First Name*

Middle Initial

Maiden Name / Alternate Name

Gender*

Date of Birth*

Primary Phone Number*

Alternate Phone Number

Address*

City*

State*

ZIP Code*

Insurance Provider*

Reason for Referral

Consultation

Medical Diagnosis*

Provider Signature*

Reason for Request*

Referring Provider Information

Last Name*

First Name*

Middle Initial

NPI

Phone Number*

Fax Number

Address*

City*

State*

ZIP Code*

Country

Email Address*

Patient's Primary Care Provider

Last Name

First Name

Middle Initial

Referral To

Specialty*

Provider Name (if known)

Referral Urgency*

Visitor Restrictions

Get Care Here

My Sanford Nurse

Walk-In

E-Visit

Video Visit

Referral Center

Referral Center

Patient Information

Reason for Referral

Referring Provider Information

Patient's Primary Care Provider

Referral To

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