Refer a Patient: Interstitial Lung Disease (ILD) Program

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1. Gather required documents

• Our referral form.

  Download referral form

• Your patient's medical history.
• Reports of all high-resolution CT scans of the chest – current and past. Current CT scan should have been performed within approximately the last three months, using our UCSF Interstitial Lung Disease (ILD) Program clinic protocol for high-resolution chest CT scans.
• Report of patient's most recent full pulmonary function test (done within the last three months, approximately), including spirometry, lung volumes and diffusion capacity.
• Pathology report from lung biopsy, if applicable.
• Your patient's contact information.
• A clear copy of your patient's insurance information.

2. Send everything to us

Fax

(415) 353-8944
Attn: ILD New Patient Coordinator

Mail

UCSF Interstitial Lung Disease (ILD) Program
Attn: ILD New Patient Coordinator
400 Parnassus Ave., Room 591
Box 0359
San Francisco, CA 94143

Phone

Call the UCSF Interstitial Lung Disease (ILD) Program Clinic to make or discuss a referral to our clinic. We will ask you to fax the required records.

Our goal is to ensure a comprehensive ILD clinic visit. After receiving your patient's materials, we'll review them, determine if further testing or records are needed, and then call the patient to make an appointment.

3. Prepare for next steps

Once an appointment has been scheduled, we'll send your patient a new-patient packet. It contains directions to our clinic, a description of what to expect at the visit and a questionnaire.

The First Appointment

Patients are asked to bring these to their appointment:

• The completed questionnaire.
• Current CT scans (taken within the past 3 months), as well as past scans, on a CD. These can be requested through the radiology department of the facility where the scans were performed. The new-patient packet includes a radiology release form for the patient's convenience.
• Any other records the patient was asked to bring.

If your patient had a lung biopsy, we'll work with the pathology department that performed the biopsy to have the slides sent to us before the first appointment. Occasionally, however, we ask patients to bring the slides with them. We'll discuss that with the patient when scheduling the appointment.

Follow-Up to the First Appointment

You'll continue to be the primary treating doctor for your patient. The ILD doctors will speak with you within a few days of your patient's visit and provide recommendations directly to you, as the referring doctor. We'll also call your patient to discuss the diagnosis.

We'll mail a detailed consultation letter to you and your patient one to two weeks after the appointment.