University Hospital

1350 Walton Way,  Augusta, GA  30901
(706) 722-9011

Change Location

Fill out the form below to inform the receiving ED of your patient's arrival.
Please note that this referral does not guarantee your patient an advanced position in line.

Patient Information


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Has the patient visited this hospital before?

Visit Information

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Referring Professional Information

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Terms & Conditions


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Remember, ER passport helps the ED prepare for your patient. It does not mean they will skip the line.
Patients are treated based on medical need.
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