Referring Provider Information

Referring Provider Information

Patient Care Services
Share the Health provides free gynecologic consultative care on a referral only basis without replicating already existing services.  We see patients on the third Thursday evening of each month.  Our services include evaluation and treatment of:

  • Abnormal pap smears
  • Abnormal vaginal bleeding
  • Symptoms of menopause
  • Pelvic pain

We offer the following procedures:

  • Colposcopy
  • LEEP
  • Vulvar and vaginal biopsy
  • Pelvic Ultrasound
  • Endometrial Biopsy
  • Mirena IUD placement

Refer a Patient
If you have a patient that meets the qualifications listed on the previous page and has a need listed above, please complete these steps to refer a patient to Share the Health:

  1. Print off the REFERRAL FORM.
  2. Ask the patient to complete page 1 of the referral form. The referral will be denied if this form is not fully completed.
  3. Complete pages 2 through 4 of the referral form.
  4. Fax completed referral forms to Share the Health at 608-729-6390.
  5. A Share the Health physician will review referral forms.  
  6. If your patient qualifies to receive care at Share the Health a volunteer will call the patient within 10 business days to schedule an appointment.  If your patient does not qualify, Share the Health will notify you within 10 business days.
  7. Share the Health physicians will send you a summary of your patient’s visit after she is seen in clinic.

Other Resources

  • Information on how to sign up for health insurance through the Health Insurance Marketplace in English and Spanish
  • Information on discount health insurance through the Health Insurance Marketplace and Health Connect
  • If your patient does not qualify for care at Share the Health please explore the Wisconsin Department of Health Services’ list of free and low cost health clinics in Wisconsin
  • Pap smears and mammograms are available for uninsured women through the Wisconsin Well Woman Program.
  • Annual exams, STD testing, and family planning are available through Planned Parenthood

Email Share the Health at [email protected] or call us at 608-729-6395.