How to Refer a Patient to FAPPlease follow the links below for the appropriate Referral Forms. Once the form is complete, please fax it to Francisca Guzman, FAP Project Coordinator: FAX # (650) 517-8973. To confirm receipt of fax please call (650) 517-8904.
Please make sure to get the patient’s signature on the referral form, or document the patient’s oral consent on the form. |
Referral Form for patients at the San Mateo Medical Center Obstetrics Clinics
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Referral Form for patients at Lucile Packard Children's Hospital or Ravenswood Family Health Center
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