Patient Referrals: * First Name:  * Required * Last Name:  * Required City: Country: Phone:  * If outside the USA, please include country code and city code Fax:  * If outside the USA, please include country code and city code * Email:   * Must be valid * Type of Inquiry: Please Select Inquiry Type Patient Referral Doctor Referral Embassy Referral   Select one of the following: Second Opinion Second Opinion and appointment Preferred Specialty, please select all that apply: Allogenic Stem Cell Transplant Autologous Stem Cell Transplant Solid Organ Transplant General Oncology General Surgery Genetic Laboratory Testing Pathology Laboratory Testing Neurology Radiation Oncology Orthopedics (Whiplash Injury Related) Other (add text box to enter other specialty) Comments/Questions:   Type the text on the left into the space below. Visual Help...       Why...

Thank you for visiting the International Healthcare Services website. We welcome your questions or comments. Please complete the form below and we will contact you as soon as possible. International Healthcare Services The Nebraska Medical Center/University of Nebraska Medical Center Phone: 402-559-3090 FAX: 402-552-2405 Email: oihs@nebraskamed.com Website: www.unmc.edu/international