Outpatient referrals

To initiate an urgent or non-urgent referral on behalf of your patient, please click the button below to submit an electronic referral intake form.

Electronic Referral Form

See specialty referral guidelines to help expediate referral process.

Click here to view specialty referral guidelines

Note:

• Incomplete information or need for clarification may delay referral processing.
• Urgent self referrals are not accepted. Patients must obtain an urgent referral from their primary care provider.
• This site uses end to end encryption, any data entered will be encrypted.

For questions about the form or referral process, please call our Physician Referral Center at 800-4-UCDAVIS (800-482-3284). 

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

Referral checklist:

• Completed UC Davis Health electronic referral intake form 
• Recent/relevant clinical notes & test results (history, physical/well checks, imaging, labs)
• Proof of insurance
• Authorization information, including approved CPT codes, approved visits and dates

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

Go here to find specialty clinics and contact information

Or register for Physician Connect, our secure web-based electronic medical records (EMR) system, to check on referral status.

Click here to register