Referral Form

Refer a patient for outpatient medical appointments using the form below. This form is secure and your information will remain private.

To admit a patient, call the Provider Access Line 651-400-2525.

Gillette does not provide emergency care, cancer care, primary care, transplant care, autism testing, or mental health services for new patients.

No mobile information will be shared with third parties or affiliates for marketing or promotional purposes. All the above categories exclude text messaging originator opt-in data and consent; this information will not be shared with third parties.