Physician Referrals
Required Information
Please fax the following information to 916-734-6034.
- PT Records
- PT Demographic Information
- PT Insurance Information (Subscriber Info, ID #, Customer Service Plan)
- Referring MD Information
- Referral Coordinator Contact Information with Direct/Back Line Phone Number
- Please call for required CPT Codes that need to be authorized.
Contact Information:
Stephanie Osorio (Referral/Authorization Coordinator)
Department of Obstetrics and Gynecology
UC Davis Health
4860 Y Street Suite 2500
Sacramento, CA 95817
Phone: 916-734-8068
Fax: 916-734-6110