Refer a Patient

REFERRAL GUIDE FOR PROVIDERS (CPT Codes & Authorization Information)

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"MD Link is a better, easier, and more efficient way to make referrals."

This handy tool lets providers:

Make and track online referrals
Send messages to BCHO staff
Order lab and radiology tests & receive real-time patient event notifications
Access referred patients' electronic medical records, including laboratory, radiology & pathology reports
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Referral Forms for Non-MD Linked Referrers	Referral FAX (510) 985-2202
Standard Referral (Use for any referral that does not have a specific Specialty-Referral form listed) Diagnostic Imaging, Radiology, MRI Referral Emergency Department Referral Fetal Medicine Program Referral Mental Health & Child Development Referral Occupational Therapy Patient Referral & Prescription Form Pediatric Rehabilitation Inpatient Referral Physical Therapy Patient Referral & Prescription Form Pulmonary Function Test Request Sleep Study Polysomnography Order and Request Speech Therapy Patient Referral & Prescription Form	For Urgent Referrals 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 Referrals / Direct Admission Information
How To Refer by Fax
1. Download Patient Referral Form above 2. Fax form and additional information to: (510) 985-2202 3. Include: Authorization (if required) Medical Record Notes Operative Notes Diagnostic Imaging or Laboratory Results	Questions? 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:
Transport to NICU, PICU, ED, or Inpatient Inpatient Referrals / Direct Admission
Fax Referral Management Process
Your fax is received and stored on a secure server. Your referral is then routed to the appropriate department for processing. A fax-confirmation reply is sent thanking you for the referral. The fax-confirmation includes: Patient name; Date of birth; Department referred to; Date and time we received your fax.
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. Do you have an appointment information card I can offer to my patients? Yes. Download printable Appointment Information Cards to record all the referral information for your patient.