Physicians: Contact MIST for a Consult or Referral

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If you are a physician or health professional and would like to request information, please complete the form below.

Patients and non-health professionals: Please use the UAB HealthFinder Contact Form.

First name: *
Last name: *
E-mail: *
Specialty /
Health profession: *

Address:
City:
State:
Zip:
Phone:

Reason for contacting MIST: *

Selecting the Submit button will send an e-mail message to UAB MIST. This does not guarantee a response from a UAB Health System physician, but that the e-mail will be reviewed and forwarded as appropriate.

Please be aware that your employer or Internet service provider may have access to your e-mail. If you would rather not use e-mail, please contact UAB MIST by phone 1.800.822.6478 or 934.6478.
UAB Health System
UAB Health System

Physician's Online Resource Center

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