Fax a referral form with supporting documentation to 650-320-9443.

PHYSICIAN HELPLINE

Stanford Health Care provides comprehensive services to refer and track patients, as well as the latest information and news for physicians and office staff. For help with all referral needs and questions, visit Referring Physicians.

You may also submit a web referral or complete a referral form and fax it to 650-320-9443 or e-mail the Referral Center at ReferralCenter@stanfordhealthcare.org

HOW TO REFER

If this is your first time referring a patient to Stanford for imaging, please complete the Unknown Provider Form (PDF) for the Medical Staff Office provider database.

Stanford Health Care Imaging Services - For general radiology referrals, please complete the Requisition / Exam Order Form (PDF), and for radiology wellness exams, use the CT Virtual Colonoscopy Requisition Form (PDF), or the CT Lung Cancer Screening Requisition Form (PDF).

Stanford Health Care Tri-Valley Imaging Services - For general radiology referrals, please complete the Requisition / Exam Order Form (PDF), and for radiology wellness exams, use the CT Lung Cancer Screening Requisition Form (PDF).

Stanford Medicine Imaging and Express Care - For general radiology referrals, please complete the Requisition/Exam Order Form.

SPECIAL ANNOUNCEMENT

CMS Mandate and Imaging Clinical Decision Support (CDS)

What you need to know about patients with Medicare Part B and Advanced Diagnostic Imaging, effective January 1, 2022.

• The Protecting Access to Medicare Act (PAMA) of 2014, established the Appropriate Use Criteria (AUC) program to increase use of AUC for advanced diagnostic imaging services (CT, MRI, PET, Nuclear Medicine) for Medicare Part B recipients.

• Effective January 1st, 2022 providers must consult Appropriate Use Criteria (AUC) through a qualified Clinical Decision Support Mechanism (qCDSM) when ordering advanced diagnostic imaging services.

• The purpose is to enable providers to order the most appropriate tests for patients while minimizing unnecessary radiation, intravenous contrast exposure, and potential risks of invasive procedures.

• A free clinical decision support tool is available at qcdsm.nationaldecisionsupport.com

• Stanford Health Care radiology paper requisitions include CDS required fields or you may submit the Imaging Clinical Decision Support Fax Form with your referral. 

• PRISM - Send and manage radiology orders online. Portal to include Medicare (CMS) mandate support features, such as:
   *Clinical Decision Support Mechanism (qCDSM) when ordering advanced diagnostic imaging services.
   *Advance Beneficiary Notice (ABN) - notification that services are likely not covered by Medicare.