Refer a Patient

1. Go to UCSF Medical Center MD Link  and Click “Request New Account”
2. Complete the form AND sign the DocuSign agreement.
3. Expect an email with your new login and password within 3-5 days.
   

• Email: UCSFMDLink2@ucsf.edu
  

Referral Forms for Non-MD Linked Referrers

1. Standard Referral (Use for any referral that does not have a specific Specialty-Referral form listed)
2. Diagnostic Imaging, Radiology, MRI Referral
3. Emergency Department Referral
4. Fetal Medicine Program Referral
5. Mental Health & Child Development Referral
6. Occupational Therapy Patient Referral & Prescription Form
7. Pediatric Rehabilitation Inpatient Referral
8. Physical Therapy Patient Referral & Prescription Form
9. Pulmonary Function Test Request
10. Sleep Study Polysomnography Order and Request
11. Speech Therapy Patient Referral & Prescription Form
    

Please go to the specialty department page and call the phone number listed to have the referring physician speak to the specialist on call.

Inpatient and Direct Admissions

• Inpatient Referrals /Direct Admission Information

How To Refer by Fax

1. Authorization (if required)
2. Medical Record Notes
3. Operative Notes
4. Diagnostic Imaging or Laboratory Results

• See: Outpatient Referral FAQs
• See: Specialist Contact Directory
• See: Outpatient Clinic Locations & Schedules
• Call Physician Liaison Services: (510) 428-3043
  We're here to facilitate your referral or coordinate a consultation with one of our specialists.

Transport and Inpatient Referral Information:

Fax Referral Management Process

Outpatient Referral FAQs

What if I need to send notes or an authorization later?

Children's requires the patient information below to relate the new documents to the original referral. Be sure the following information is printed legibly on the authorization or medical notes:

• Patient Name
• Birth Date
• Referral Department Name
• Fax completed forms to: (510) 985-2202 
  We will reply with a confirmation fax.

Should urgent referrals be sent to the fax line?

No. For urgent referrals, please call the specialty department directly and have the referring physician speak to the specialist on call. Specialties such as Cardiology and Hematology/Oncology use these consults to determine how soon a patient needs to be seen.

Who makes the appointment?

While some Children's departments contact the family to schedule an appointment, your patient's family should call the specialty department directly. Processing the fax referral will take up to one day. Ask the family to wait one business day from referral-receipt before calling.

Who do I call with questions?

Questions about the referral management system should be directed to your physician liaison.

Physician Liaison Services:

• Phone: (510) 428-3043
• Email: Liaisons@mail.cho.org
• If you wish to confirm that a specialty department received your referral, please call: 1-800-400-7337

How do I register as a referring office?

Your physician liaison will ask for a list of the physicians and nurse practitioners that refer patients from your office, along with your office fax number, and then assign you a referral fax number. If you don't know who your liaison is, please call Physician Liaison Services: (510) 428-3043.

1. Go to UCSF Medical Center MD Link  and Click “Request New Account”
2. Complete the form AND sign the DocuSign agreement.
3. Expect an email with your new login and password within 3-5 days.
   

• Email: UCSFMDLink2@ucsf.edu
  

Referral Forms for Non-MD Linked Referrers

1. Standard Referral (Use for any referral that does not have a specific Specialty-Referral form listed)
2. Diagnostic Imaging, Radiology, MRI Referral
3. Emergency Department Referral
4. Fetal Medicine Program Referral
5. Mental Health & Child Development Referral
6. Occupational Therapy Patient Referral & Prescription Form
7. Pediatric Rehabilitation Inpatient Referral
8. Physical Therapy Patient Referral & Prescription Form
9. Pulmonary Function Test Request
10. Sleep Study Polysomnography Order and Request
11. Speech Therapy Patient Referral & Prescription Form
    

How To Refer by Fax

1. Authorization (if required)
2. Medical Record Notes
3. Operative Notes
4. Diagnostic Imaging or Laboratory Results

Transport and Inpatient Referral Information

• See: Outpatient Referral FAQs
• See: Specialist Contact Directory
• See: Outpatient Clinic Locations & Schedules
• Call Physician Liaison Services: (510) 428-3043
  We're here to facilitate your referral or coordinate a consultation with one of our specialists.

Fax Referral Management Process

Outpatient Referral FAQs

What if I need to send notes or an authorization later?

Children's requires the patient information below to relate the new documents to the original referral. Be sure the following information is printed legibly on the authorization or medical notes:

• Patient Name
• Birth Date
• Referral Department Name
• Fax completed forms to: (510) 985-2202 
  We will reply with a confirmation fax.

Should urgent referrals be sent to the fax line?

No. For urgent referrals, please call the specialty department directly and have the referring physician speak to the specialist on call. Specialties such as Cardiology and Hematology/Oncology use these consults to determine how soon a patient needs to be seen.

Who makes the appointment?

While some Children's departments contact the family to schedule an appointment, your patient's family should call the specialty department directly. Processing the fax referral will take up to one day. Ask the family to wait one business day from referral-receipt before calling.

Who do I call with questions?

Questions about the referral management system should be directed to your physician liaison.

Physician Liaison Services:

• Phone: (510) 428-3043
• Email: Liaisons@mail.cho.org
• If you wish to confirm that a specialty department received your referral, please call: 1-800-400-7337

How do I register as a referring office?

Your physician liaison will ask for a list of the physicians and nurse practitioners that refer patients from your office, along with your office fax number, and then assign you a referral fax number. If you don't know who your liaison is, please call Physician Liaison Services: (510) 428-3043.