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UCI Lung Center
University of California, Irvine
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Referring Your Patient to UCI Pulmonary
Outpatient Referrals and Second Opinions
Pulmonary Physician's Group call 714.456.7001 (UCI Referral Center)
Matthew Brenner MD Chief of Pulmonary Medicine
Pulmonary Diagnostic and Interventional Procedures call 714.456.8058
Pulmonary Critical Care Hospitalists call 714.456.7001 (UCI Referral Ctr)
James Roum MD
James Williams MD
We would like to have any/all of the following information for consultations:
Demographic Information: Address, Telephone, SS#, DOB, etc
Copy of Insurance Cards (front & back)
Authorization for Comprehensive Exam Level IV, 99204
Any Pulmonary Function Tests
Radiology Images and Reports for Chest x-rays and CT Scans
History and Physical
Recent Clinic Notes
Routine blood work: CBC with diff, PT and PTT, Basic Metabolic Panel
Please FAX the above to 714.456.8349.
Insurance authorization for an outpatient consultation is the responsibility of the referring physician.
Inpatient Transfers (Hospital to Hospital)
UCI Transfer Center call 714.456.2222
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