Intake desk

Refer a visit.

Tell us which ward you're headed for and the intake desk routes the request. This form is for scheduling and business inquiries — never send urgent symptoms, record numbers or insurance ID scans through it.

Office
7533 S Center View Ct
West Jordan, UT 84084
United States
Hours
Mon – Fri · 08:00 – 17:00 MT
Desk closed weekends & federal holidays

Visit request

FORM JET-REF

Submitting opens your mail client with the completed form. Do not include diagnoses, medications lists, or record identifiers — the desk will collect those through the proper channel if a visit is scheduled.