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Refer a Patient: Cardiology Clinic

How to Refer a Patient

1. Gather required documents

  • A copy of your patient's insurance card and authorization
  • Clinical documentation, including reports and images from previous cardiac testing and procedures

2. Fill out the referral form

Download the Pediatric Cardiology Referral Request Form. It's a fillable PDF, so you can complete it on your computer screen.

3. Fax everything to (415) 353-4485

Send the completed referral form and required documentation, using this fax number for all clinic locations: (415) 353-4485.

Where to Call for Help

If you have questions, please call the Pediatric Heart Center:

M-F, 8 a.m. - 4:30 p.m.
(415) 353-2008 (San Francisco)
(510) 428-3380 (Oakland)

Need help?

Get help making referrals
Pediatric Access Center

(877) 822-4453 (877-UC-CHILD)

Fax Oakland: (510) 985-2202

Fax San Francisco: (415) 353-4485

Talk to a physician liaison
Physician Liaison Service

(800) 444-2559

(415) 353-4395