Refer a Patient: Nephrology and Hypertension Faculty Practice

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When submitting a referral, please include:

• Notes from the previous nephrologist, if the patient has seen one
• Renal imaging and results (MRI, CT or ultrasound)
• A comprehensive metabolic panel (BUN, creatinine, eGFR, CO2, serum potassium, serum sodium, and glucose) from within the past three months
• Dipstick urinalysis values from within the past three months (not needed for PKD patients)

Here's how to refer a patient who resides in the United States.

Please note that your patient can schedule an appointment with us before the referral process is complete. Ask your patient to call the clinic, and we'll get things started.

Option 1: Refer online

Complete and submit this form, which auto-fills some fields after selecting the referring provider.

Online referral form

Option 2: Refer by fax

Download our referral form as a PDF, complete it, and fax it to us at the number above.

Universal referral form

Option 3: Refer through MD Link

Use MD Link, a secure portal that allows you to easily refer patients to UCSF Health and stay connected to their care.

Log into MD Link account

More about MD Link

If you need assistance with a referral or have other questions, please give us a call at the number above.

Insurance

Please check whether the patient's insurance plan requires an authorization, RAF or PCP referral. If authorization is needed, use CPT code 99205. If no authorization/RAF/PCP referral form is required, please indicate this.