Information for Referring Clinicians

To refer a patient for consultation or treatment at Langley Porter Psychiatric Hospital and Clinics (LPPH&C), please download the Consult Request letter below and fax the completed form to (415) 502-6361. We will then contact the patient directly to schedule an appointment.

Please be sure to indicate your reason for referral so that we may direct our services appropriately.

Download:  LPPH&C Consult Request Letter