UnityPoint Health - Madison

Referrals and Appointments

Referrals and Appointments

As a regional resource, the Center for Perinatal Care accepts referrals for the assessment, diagnosis and treatment of a full range of complex medical, obstetric, fetal and genetic conditions that complicate pregnancy, birth and the newborn period for women in Wisconsin and the Upper Midwest. The Center's multidisciplinary care team includes a full range of health care specialists to care for your patients.

Referring Providers Brochure

How to Refer

Patients must be referred by their primary care provider to be seen at the Center for Perinatal Care. To refer a patient please complete and fax the appropriate referral form:

Perinatal Clinic Referral Form: Use this form for MFM consults, transfer of care to the High Risk Perinatal Clinic, diabetes consultation or antenatal testing.

Ultrasound/Genetics Referral Form: Use this form for fetal ultrasounds, screening or diagnostic testing and genetic counseling. For questions regarding the referral forms, please see the Referral Form Questions.

Medical Providers only: For urgent questions regarding your patient, call (866) 678-7636. You will be connected to a MFM specialist directly.

Referral Form Questions