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How to Refer a Patient to the Peninsula Family Advocacy Program

1) Please FAX FAP’s Referral Form (English, Spanish) to the Project Coordinator Fax# (650) 558-0673

2) Then call FAP’s Project Coordinator at: (650) 375-0185, ext. 3304 to confirm receipt of referral.

3) Please make sure to get the patient’s signature on the referral form, or document the patient’s oral consent on the form.
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FAP is funded in part by Lucile Packard Children's Hospital, the Medical Legal Partnership for Children, the Philanthropic Ventures Foundation, and the Silicon Valley Community Foundation.
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