1. To get started, we will need a written referral from your physician. Please have your healthcare provider fax the completed form, along with any necessary lab results to:
Perinatal Genetics:
Amniocentesis, chorionic villus sampling (CVS), nuchal translucency (with genetic counseling) and genetic counseling
Perinatal Genetics Referring Physician Orders FormÌý(±Ê¶Ù¹ó)
±Ê³ó´Ç²Ô±ð:Ìý(650) 723-5198
¹ó²¹³æ:Ìý(650) 725-2878
Perinatal Diagnostic Center:
Level II ultrasounds, non-stress tests, and consultations with maternal-fetal medicine specialists
PDC Referring Physician Orders FormÌý(±Ê¶Ù¹ó)
±Ê³ó´Ç²Ô±ð:Ìý(855) 485-3357
¹ó²¹³æ:Ìý(650) 725-9877
Center for Fetal and Pregnancy Health:
Clarification of a fetal diagnosis and/or coordination of prenatal and subsequent pediatric care
Center for Fetal and Pregnancy Health FormÌý(±Ê¶Ù¹ó)
Phone:Ìý(650) 724-2221
¹ó²¹³æ:Ìý(650) 723-6607
Fetal Cardiology:
Echocardiograms
Fetal Cardiology FormÌý(±Ê¶Ù¹ó)
±Ê³ó´Ç²Ô±ð:Ìý(650) 721-2121
¹ó²¹³æ:Ìý(650) 497-8422
2. Please call the Perinatal Diagnostic Center to make an appointment atÌý(855) 485-3357.
If you are having a nuchal translucency (NT) ultrasound or chorionic villus sampling (CVS), please drink 16 ounces of water 45 minutes before your procedure.
Please bring the following items to your Perinatal Diagnostic Center appointment:
The results of your patient's tests or a summary of a consult orÌýgenetic counselingÌýmeeting will be sent to you as soon as possible.Ìý Results of nuchal translucency and level 2 ultrasound will be reviewed with you by a perinatalogist at the end of the appointment.
Contact us to learn more or to schedule an appointment.
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