Dermatology & Cutaneous Surgery

Inpatient Consultation Request

Complete an Inpatient Consultation Request Form

Ensure the following is included

  • Patient Name
  • Patient Medical Record Number
  • Requesting Attending Physician’s Name
  • Requesting Attending Physician’s ID Number
  • Reason for Consultation
  • Fax the completed Inpatient Consultation Request Form to:
  • Division of Dermatology FAX # (352) 392-5376

In general, requests received BEFORE 12:30 pm will be seen, staffed by faculty and report left in the patient’s chart, same day.

Paging the On-Call resident for Dermatology does NOT remove the requirement for a completed, faxed Consultation Request Form prior to evaluation.

The Inpatient service is exclusively for patients admitted to SHANDS Hospital at UF. Patients requiring consultation in the Clinical or ER setting should follow the protocol for Outpatient Consultation Request.

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