Refer a Patient: Psychiatry & Psychology Clinic

To refer a patient to the Psychiatry & Psychology Clinic in San Francisco:

1. Fill out the referral form

Download and complete our universal referral form.

Referral form

2. Send it to us

Fax the completed referral form to our San Francisco office at (415) 353-4485.

To refer a patient to the Psychiatry & Psychology Clinic in Oakland:

1. Fill out the referral form

Download and complete our mental health and child development referral form. The child’s parent or guardian must fill out the release of information / consent for referral portion of the form for us to process the referral.

Referral form

2. Send it to us

Fax the completed form to our Oakland office at (510) 985-2202.