Refer a Patient: Intestinal Rehabilitation Program

San Francisco:
Phone: (877) 822-4453 (877-UC-CHILD)
Fax: (415) 353-2474

Oakland:
Phone: (877) 822-4453 (877-UC-CHILD)
Urgent Oakland referrals: (510) 428-3885 Ext. 4209
Fax: (510) 985-2202

Referral instructions

1. Gather required documents

• A copy of your patient's insurance card and authorization
• Clinical documentation

2. Fill out the referral form

Download and complete our UCSF pediatric referral form. It's a fillable PDF, so you can complete it on your computer screen.

Universal referral form

3. Send everything to us

Fax us the completed referral form and required documents.