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Refer a Patient: Oral Oncology

Contact Us

(415) 476-5903
(415) 502-8180

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.

For providers who occasionally refer patients to UCSF

First, gather required documents:

  • Patient demographic information
  • Recent consult notes
  • Cancer treatment summary
  • Recent pathology report
  • Insurance information, with authorization if applicable

Then, send everything to us:

Option 1. Complete and submit this form online, attaching the documents listed above:

Option 2. Fax the documents listed above, marked “Attn: Oral Oncology” to (415) 502-8180.

For providers who regularly refer patients to UCSF

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


If you need assistance with a referral, call the Cancer Services Referral Center at (877) 827-3226. If you have other questions, please contact the program at the number above.

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