Refer a Patient: Pediatric Complex Care Coordination Program

Contact us

1. Have your patient call 877-UC-CHILD:

Your patient can call 877-UC-CHILD (877-822-4453) now for an appointment. We can schedule the visit while you're preparing the referral – there’s no need to wait.

2. Download the referral form:

Universal referral form

3. Gather patient information:

• Relevant medical records, including test results and imaging
• Patient's insurance card, front and back, and authorization if required

4. Send materials to us:

(415) 231-5071

Radiology imaging can be submitted electronically.

Once a referral is in our queue and we have determined that the patient meets the enrollment criteria, we will place them on the waiting list. Wait times range from four to seven months.