Type text, add images, blackout confidential details, add comments, highlights and more.
02. Sign it in a few clicks
Draw your signature, type it, upload its image, or use your mobile device as a signature pad.
03. Share your form with others
Send it via email, link, or fax. You can also download it, export it or print it out.
How to use or fill out 8772543762 with our platform
Ease of Setup
DocHub User Ratings on G2
Ease of Use
DocHub User Ratings on G2
Click ‘Get Form’ to open the Referral Request form in the editor.
Begin by selecting the urgency of the referral by checking either 'Routine' or 'Urgent'.
Fill in the Referring Provider Information section, including your name, medical group, contact details, and address.
Provide patient information by entering their last name, first name, middle initial, date of birth, phone number, and gender. Indicate if an interpreter is needed.
In the Reason for Referral section, specify the diagnosis/ICD code and the service or specialty requested. Include any specific physician requests and check the type of service needed.
List any required documentation that needs to be faxed along with this form.
Start using our platform today to streamline your document editing and form completion for free!
Is Stanford Medicine related to Stanford University?
Stanford School of Medicine is a part of Stanford University, one of the worlds leading teaching and research universities.
Is Stanford medicine the same as Stanford Health Care?
Stanford Medicine comprises the Stanford University School of Medicine, Stanford Health Care and Stanford Childrens Health. A leader in the biomedical revolution, Stanford Medicine is ushering in the era of Precision Health.
What is the phone number for Stanford health insurance?
Member Care Services is available by phone, 1-855-345-7422, MondayFriday from 6:30 a.m.7 p.m. Pacific Time, excluding holidays. For nonurgent inquiries, you may also send us an email request using the secure form below. A Member Care Specialist will respond to your inquiry by the next business day.
Is Stanford Health Care the same as Stanford hospital?
Stanford University Medical Center is a teaching hospital which includes Stanford Health Care and Stanford Childrens Health. It serves as a private hospital for the Stanford University School of Medicine.
Is Stanford Health Care Advantage affiliated with Stanford University?
SHC is the principal teaching hospital affiliate of the Stanford University School of Medicine and provides primary and specialty health services.
People also ask
What is the phone number for the Stanford referral center?
For Referring Physicians Call our Physician Helpline at 1-866-742-4811 to speak to a representative. We are here to ensure that your referring experience is a positive one. After hours: Please call the hospital page operator at 650-723-4000 and ask for the physician on call.
Is Stanford no longer accepting Anthem Blue Cross?
Stanford Health Care and Stanford Medicine Childrens Health will continue to welcome Anthem Blue Cross PPO patients and honor Anthem Blue Crosss in-network rates for all services and care at our facilities.
Related links
Make an Appointment or Refer a Patient | Ophthalmology
For information about your physician referrals, please contact our Referral Services: Phone: 877-254-3762; Email: ReferralCenter@stanfordhealthcare.org
This site uses cookies to enhance site navigation and personalize your experience.
By using this site you agree to our use of cookies as described in our Privacy Notice.
You can modify your selections by visiting our Cookie and Advertising Notice.... Read more...Read less
