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?
(877) 822-4453 (877-UC-CHILD)
Fax Oakland: (510) 985-2202
Fax San Francisco: (415) 353-4485