Refer a Patient: Head and Neck Surgery Cancer Clinic

Contact Us

(415) 885-7528
(415) 885-7711

1. Gather required documents

  • A formal referral, indicating the patient’s diagnosis and clinical reason for referral
  • Previous clinical notes for the patient that are pertinent to the reason for referral, including consult notes, lab and test results (such as audiograms), MRI/CT (discs in dicom format), barium swallow or sleep studies, and pathology slides
  • Patient’s demographic information (full name, address, date of birth, contact phone numbers), including a copy of insurance card(s)
  • Insurance preauthorization for the visit if applicable to the patient’s insurance plan

2. Send everything to us

Fax

(415) 885-7711

Have questions?

Please don't hesitate to contact us with additional questions or to obtain a postal address for mailing required referral documents.

Phone

(415) 885-7528

Need help?

Get help making referrals
Physician Referral Services

(800) 444-2559

(415) 353-4395

M-F, 8:00 AM - 5:00 PM (PST)

Transfer a patient
Transfer Center

(415) 353-9166

Open 24 hours a day, every day

Transfer a labor and delivery patient
Access Center

(877) 822-4453

Inpatient: (415) 353-1323

Outpatient:(415) 353-4485

Open 24 hours a day, every day

Refer a patient who lives outside the U.S.
International Services

(415) 353-8489

(415) 353-8603

Open 24 hours a day, every day

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