Information for Referring Clinicians

To refer a patient for consultation or treatment at Langley Porter Psychiatric Hospital and Clinics (LPPHC), please use the LPPHC Patient Treatment Request Portal to refer a patient online OR 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:  LPPHC Consult Request Letter