Refer a Patient: Oral Dysplasia Program

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Here's how to refer a patient who resides in the United States.

Please note that your patient can schedule an appointment with us before the referral process is complete. Ask your patient to call the clinic, and we'll get things started.

For providers who occasionally refer patients to UCSF

Option 1. Complete and submit this form online:

Online referral form

Option 2. Download our referral form as a PDF, complete it, and fax it to us at (415) 502-8180:

Referral form

For providers who regularly refer patients to UCSF

Use MD Link, a secure portal that allows you to easily refer patients to UCSF Health and stay connected to their care.

Log into MD Link account

Request a new MD Link account

If you need assistance with a referral, call the Cancer Services Referral Center at (877) 827-3226. If you have other questions, please contact the program at the number above.