Refer a Patient: Speech Therapy Clinic

To refer a patient to the Speech Therapy Clinic in San Francisco:

1. Fill out the referral form

Download and complete our universal 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 Speech Therapy Clinic in San Ramon:

1. Fill out the referral form

Download and complete our referral and prescription form.

2. Send it to us

Fax the completed referral form to our San Ramon office at (510) 985-2202.

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

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