SHIP Referral Request Form
Due to COVID-19, as of March 16, 2020 and until further notice, no referrals from University Health Services are needed before accessing medical and mental health care. If needed, please see this UHS letter for documentation.
For assistance in obtaining health records, contact Health Records by phone at (510) 642-1804 or by fax at (510) 642-1801.
For retroactive referrals only, submit the referral request form with medical notes to the SHIP office.
Pre-certification Requests
Submit the pre-certification request form with current/relevant clinical documentation to Wellfleet.