Refer a Patient: Lung Cancer Screening Program

Contact Us

1. Verify eligibility

To be eligible for screening, your patient must meet all the following criteria, which should be documented in the patient's chart

• Is between 50 and 80 years of age (with variation based on insurance coverage)
• Is a current smoker or former smoker who quit in the past 15 years
• Has a smoking history of 20 pack-years or more
• Has no clinical signs or symptoms of lung cancer (for example, hemoptysis)

The chart must also include:

• Documentation of shared decision-making with the patient, including discussion of the risks and benefits of screening
• Documentation that smoking cessation resources were offered to the patient

2. Send your referral

Please fax your referral to Radiology Central Scheduling.

Fax

(415) 353-7299

3. Schedule an appointment

Once you've submitted the referral, either you or your patient can follow up with a phone call to schedule an appointment.

Have questions?

Contact Betsy Antonelli, Lung Cancer Screening Nurse Navigator.
[email protected]
(415) 244-5094