REFERRING PROVIDERS
To refer your patient, start by accessing our patient referral form and filling it online through
Once you hit , the patient is automatically registered in our system (No need to fax the form!)
Please fax us any additional patient records at 855.815.4684.
Click here for our Patient Referral Form on
To refer your patient to the Diabetes and Pregnancy Program (DAPP)
Please click here to download the referral form
Please complete the form, sign it, and fax it along with the required patient records to (916) 962-8858.
WHAT SERVICES DO YOU PROVIDE?
We are proud to offer the following services to the OB providers in our community:
LOW-RISK PREGNANCY ROUTINE OBSTETRIC ULTRASOUND
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Early pregnancy dating scans
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Nuchal translucency assessment
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Basic anatomic survey
HIGH-RISK PREGNANCY OBSTETRIC ULTRASOUND
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Early anatomical ultrasounds survey (16 weeks)
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Detailed anatomical ultrasounds survey
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Second opinion scans
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Screening fetal echocardiography
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Advanced 3D / 4D / 5D imaging
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Cervical length monitoring
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Serial fetal growth assessments
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Biophysical Profile (BPP) scoring
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Ultrasound-guided procedures like chorionic villous sampling (CVS) , amniocentesis & percutaneous umbilical cord blood sampling (PUBS)
CONSULTATION & CO-MANAGEMENT
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Preconception & prenatal genetic counseling
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Preconception & prenatal MFM consultation with co-management
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Inpatient MFM consultation with co-management
WHAT INSURANCE DO YOU TAKE?
We take all insurance plans, both commercial and MediCal.
Commercial Preferred Provider Organization (PPO)
Aetna
Anthem Blue Cross
Blue Shield
Cigna
Connected Care
HealthNet
Humana
United Healthcare
TriCare
TriWest
Western Health Advantage
Commercial Health Maintainance Organizations (HMOs)
Hill Physicians Medical Group
Mercy Medical Group
Covered California
MediCal
Medicare
WHAT IF MY PATIENT REQUIRES DELIVERY IN A DIFFERENT HOSPITAL THAN MINE?
Delivering Your Baby
Many prenatal conditions do not require you to deliver your patient’s baby outside your hospital. If you are able to deliver in your hospital, we are sure to communicate with you about our treatment recommendations and follow-up plan.
Patient Transfers
If you do need to transfer your patient’s prenatal care to a hospital with a level III NICU, however, our MFM specialist will arrange the transfer to Dignity Health Mercy San Juan Medical Center, and continue to oversee your patient’s care over there.
HOW FAST CAN I GET MY PATIENT SEEN BY YOU?
Prompt Attention
We can make your patient’s first appointment quickly, sometimes within 24 business hours of your referral.
Advanced Imaging
We have state-of-the-art ultrasonographic capabilities to diagnose and clarify complex conditions and help us determine the most appropriate treatment options.
Your Patient’s First Visit
She’ll meet with our MFM specialist, genetic counselor, and will be referred to any other specialists she needs. Our coordinator can assist in arranging these appointments.