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Refer a patient to Thoracic Surgery

If you are a physician, you may refer a patient to be seen by one of our thoracic surgeon.

To request a new patient appointment with one of our providers, please call us at 714-456-8000 or fill out the form below.

All of our referrals are reviewed daily and referring appointments are scheduled within one to two weeks, if not sooner.

If an earlier appointment is needed, please let us know and we will accommodate the physician request.

In order to successfully submit the form, please ensure that all fields marked with an asterisk (*) are completed.

Your name

Your phone number

Your email address

Patient's name

Patient's phone number

Is this an urgent referral? Yes No

Reason for your referral

Make an Appointment

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UCI Health will see you now: Welcome to our new co-workers and patients from Fountain Valley, Lakewood, Los Alamitos and Placentia Linda!