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Upstate University Hospital
Request an Appointment/Referral

Thank you for contacting MD Direct. This is a free and confidential referral service. Based on the information you provide to us, we will provide you with information about our physicians or other providers that best match your needs. If a University Hospital or Upstate Medical University provider does not meet your needs, we will provide you with information about other providers in the community. Physicians and providers do not pay us for a referral or pay to participate in our referral service.

For more information about a department or a physician, please fill out the form below, or call 315-464-4842 or 800-544-1605 to speak with an MD Direct representative. We cannot make appointments on-line through this website, but we will gladly assist in providing you information and a phone number.

(Please do not use this form to send Consult Requests or personal emails to physicians.)

Fields with * are Required

Patient Information

The person who will be seeing the physician.

Contact Person

The person completing this form.

Doctor/Area of Interest
Lauren Lagrow, MS, PA-C, Medicine - Community Campus
Additional Information

If this is a true medical emergency, do not wait for a response, call 911. Please allow 72 hours for a response to this form

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