Western University of Health Sciences Western University of Health Sciences
WesternU Patient Care Center

For Providers
Patient Care Center

Make an Appointment or call (909) 706-3900

For Providers – at the Western University of Health Sciences Patient Care Center

If you are a referring provider and would like to refer patients to the Patient Care Center, please complete the corresponding referral form.

If you have questions or need more details, please contact the corresponding center to speak to a referral coordinator.

Referral Forms

Interdepartmental Referral Form

Dental Center Referral Forms:

CT Referral

Oral Pathology Referral

Referral for Comprehensive Care

Referral for Endodontics

Referral for Oral Surgery

Referral for Periodontics

Referral General

The referral is to be filled out by the referring provider and
faxed to (909) 469-8650.

We will then contact the patient to schedule an appointment.

Eye Care Center

Click here to access our referral form

The referral is to be filled out by the referring provider and
faxed to (909) 469-8640.

We will then contact the patient to schedule an appointment.

Foot & Ankle Center

Click here to access our referral form

The referral is to be filled out by the referring provider and
faxed to (909) 706-3942.

We will then contact the patient to schedule an appointment.

providers