This form is for physicians and other health professionals to refer a patient to the UCSF Gastrointestinal Surgery. If you are NOT a physician or health professional, please use our Request an Appointment Form.
Please complete the form below to initiate a referral request. Appointments by phone may also be made by calling (415) 353-2161. This is a secure form and any information provided will be handled in strict compliance with applicable privacy laws.
Note: For all Hernia Referrals, please click here.