Referrals & Appointments

Compassionate care begins here

Whether you’re a provider referring a patient or a family member seeking expert wound care, Peaks Advanced Medical is here to make the process smooth and personalized. We specialize in advanced wound management delivered with efficiency, empathy, and clinical precision.

Our referral process is streamlined to ensure patients receive timely, specialized care in the comfort of their home or facility.

Consult Request
First
Last
Referral

Referring Provider Information

Patient & Insurance Information

Name
Name
First Name
Last Name
Address
Address
City
State/Province
Zip/Postal

Wound Details

Maximum file size: 67.11MB

Maximum file size: 67.11MB

Maximum file size: 67.11MB

Other Ways to Send a Referral
If you prefer to send referrals by email or fax, please use the following:

Email: intake@peaksmed.com | Fax: 801.820.2849

Schedule your consult today

Advanced care, right where you need it. Our team is ready to provide personalized wound care tailored to your needs — let’s begin your healing journey together.

Serving wound care patients across Utah