Refer a Patient: Oral Dysplasia Program

Contact Us

(415) 476-5903
(415) 885-7711

Submit your referral

Download the referral form below. You'll find a helpful checklist to determine whether it's appropriate to refer your patient to our program, as well as a form you can fill out on your computer desktop before printing out and faxing to us.

If you need assistance, please give us a call.

Need help?

Get help making referrals
Physician Referral Services

(800) 444-2559

(415) 353-4395

M-F, 8:00 AM - 5:00 PM (PST)

Transfer a patient
Transfer Center

(415) 353-9166

Open 24 hours a day, every day

Transfer a labor and delivery patient
Access Center

(877) 822-4453

Inpatient: (415) 353-1323

Outpatient:(415) 353-4485

Open 24 hours a day, every day

Refer a patient who lives outside the U.S.
International Services

(415) 353-8489

(415) 353-8603

Open 24 hours a day, every day

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