Faxing Physician-to-Physician Referrals

Fax instructions for Specialty Care, Surgery or Procedures

Please fax the following to 888-539-8781:
  • Patient contact information: name, address, phone number, date of birth
  • Copy of insurance card (front and back)
  • Insurance authorization, if required
  • What service is requested (consultation, diagnostic testing, etc)
  • Please give specific provider’s name if requested/known
  • Diagnosis, reason for referral
  • Copies of progress notes, diagnostic test results that pertain to this visit, including CPT and ICD-9 codes
  • Provider’s contact information, including name of office contact

Physician Access Services Team

855-543-0555
Fax: 888-539-8781

Office Hours:
M-F, 8 a.m. - 5 p.m.

Mailing Address:
200 West Arbor Drive, # 8906
San Diego CA 92103-8906