Outpatient referrals

Call our Physician Referral Center at 800-4-UCDAVIS (800-482-3284), option #3. 

To initiate a referral on behalf of your patient, please click the button below to submit an electronic referral form OR download and complete our Referral Request Kit and submit to our Physician Referral Center via fax at 916-703-6048.

Electronic Referral Form

Referral Request Kit

Please allow up to 48 hours for processing of your referral. Please be advised that incomplete information or need for clarification may delay the process.

Clinics listed below should be contacted directly to initiate a referral:

Checklist for non-urgent referrals

Prior to submitting a referral, please complete the following:

• Obtain insurance plan authorization
• Confirm patient name and name on insurance card(s)
• Obtain copy of most up-to-date insurance card(s)

IMPORTANT: Please submit the following with your referral request

• Completed UC Davis referral intake form (included in the Referral Request Kit)
• Recent/relevant clinical notes/test results (health history, physical, MRI/Ct/X-ray results, etc.)
• Proof of insurance
• Authorization information with CPT code details and approved visits

To check the status of your referral, please contact the specialty care service directly.

Go here to find specialty clinics and contact information