Site Map

Home/Site Map

Site Mapdave.sabin2022-10-05T11:56:27-07:00

Pages

About Us
Careers
Contact Us
HEALTH ALERT: Important Coronavirus Update
Home
No Surprises Act
Notice of Nondiscrimination
Programs & Services
Resources
- Admissions
  - Assessments & Referrals
- Insurance
Site Map
Standard Services

Physicians are on the medical staff of Heritage Oaks Hospital, but, with limited exceptions, are independent practitioners who are not employees or agents of Heritage Oaks Hospital. The facility shall not be liable for actions or treatments provided by physicians. Model representations of real patients are shown. Actual patients cannot be divulged due to HIPAA regulations. TRICARE® is a registered trademark of the Department of Defense, Defense Health Agency. All rights reserved.

HIPAA Notice
Nondiscrimination Notice
Standard Services
Language Assistance
Privacy Policy
Sitemap
Download Adobe Acrobat Reader
No Surprises Act

We are pleased to support our trusted regional partners in care, Michael’s House and Reasons Eating Disorder Center, with services treating substance abuse and eating disorders.

Please visit their websites to learn more:

Michaelshouse.com | Reasonsedc.com

© Heritage Oaks Hospital. All rights reserved.

To make a referral, please complete the items below and click “Submit” to send this confidential form to an Assessment and Referral clinician.

You can also fax it to 1-800-217-6218

Patient Name*
First Last
Patient Phone*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Date of Birth*
MM slash DD slash YYYY
Insurance Carrier*
Referred By*
Referral Contact Phone Number*
Diagnosis/Symptoms to be treated/Reason for referring:*
Email
This field is for validation purposes and should be left unchanged.

This form is monitored during regular business hours only.

For immediate assistance, please call our Assessment and Referral line directly at 916-830-2223.

Download Form

Generic selectors

Exact matches only

Search in title

Search in content

Search in excerpt

Post Type Selectors

Hidden