Refer a Patient: Cardiopulmonary Exercise Lab

To refer a patient for a cardiac test or a cardiac monitor, follow these steps. If you have questions, please call us at (415) 476-3774.

1. Gather required documents

You'll need copies of your patient's demographics, insurance authorization and clinic notes.

2. Fill out the referral form

Download and complete the Request for Cardiac Testing/Cardiac Monitor form.

3. Send everything to us

Fax the completed referral form and required documentation to (415) 353-8675.

Need help?

Get help making referrals
Pediatric Access Center

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

Fax Oakland: (510) 985-2202

Talk to a physician liaison
Physician Liaison Service

(800) 444-2559

(415) 353-4395

Share