New Patient Referrals

Our team evaluates new patients twice a week in our Sacramento clinic.

For your convenience, we have provided a link to our referral form below. Please complete the form and fax it to our Referral Coordinators at (916) 734-5194.

To make the most of the evaluation visit, our physicians have asked that we obtain the following records in advance of the visit. We would appreciate it if your staff could fax the records along with the referral form, to help expedite the scheduling of your patient. If your patient has any potential living donors, please have them all come to the visit and our living donor nurse coordinator will see them as well. Again, thank you for your referral, and if you have any questions, please do not hesitate to call our staff at (800) 821-9912.

Required Records
Copy of insurance cards (front and back)
Patient’s current dictated history and physical and progress notes
Current medication list
Dialysis lab summary or CMP and CBC within last 6 months
Any radiology or cardiology studies

Printable Documents
Kidney Transplant Referral Form

Our team evaluates new patients every day depending on their urgency status.  For urgent referrals or inpatient transfers, please call the transplant center directly at 1-916-734-2111.  For all other referrals, please click on the link to the referral form below.  Please complete the form and fax it to our Referral Coordinators at 1-916-734-5194.

To make the most of the evaluation visit, our physicians have asked that we obtain the following records in advance of the visit. We would appreciate it if your staff could fax the records along with the referral form.  Thank you for your referral, and if you have any questions, please do not hesitate to call our staff at (800) 821-9912.

Required Records:
Copy of insurance cards (front and back)
Patient’s current dictated history and physical and progress notes
Current medication list
Any cardiology studies in past 12 months

Printable Documents
Heart Transplant Referral Form