Referrals

Your request will be processed by our Patient Care Coordinator, evaluated by a team of Health Practitioners at the Stanford Hypertension Center, and you will be contacted as soon as possible. The information will be transmitted in a secure e-mail in compliance with the Health Information Portability and Accountability Act. 

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MM/DD/YYYY
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If applicable, include apartment / unit number
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xxx-xxx-xxxx
 
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Please provide a brief description for why you would like this individual to be evaluated at the Stanford Hypertension Center. Thank you.