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 Referrals
 
 Cardinal Hill Specialty Hospital - Referrals

We are pleased you are interested in making a referral to Cardinal Hill Specialty Hospital at St. Luke Hospital East. For more information or to make a referral, please call (859) 572-3880.

To make a referral on line, fill in the form below.

For more information regarding Cardinal Hill Specialty Hospital, click here


         

 
 Cardinal Hill Specialty Hospital (LTACH) Referral Form
Patient Identification
Full Name
Address
City
County
State
Zip Code
Phone Number
Email Address
Person Making Referral
Full Name
Address
City
State
Zip Code
Phone Number
Email Address*
* Please note that a valid email address is required if you wish to receive electronic confirmation of your referral.
Professional Status OR Relationship To Patient
Professional Status
Relationship To Patient
Referral Reason
Best time for someone to contact you:

       



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