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Refer a Patient: RSV Clinic

To refer a patient to the RSV Clinic:

1. Fill out the referral form

Download and complete the Synagis request form.

2. Send it to us

Fax the completed referral form to (510) 985-2232.

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