Christopher Chen, M.D., Inc. 

Call Us:  +1.925.461.2840

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Referral Forms

Christopher Chen, M.D., Inc. would like to thank you for the referral of our prospective mutual patient. 

When Requesting an appointment with Christopher Chen, M.D., Inc., we require that the referring party complete a specific referral form. Some insurance plans require pre-authorizations for office visits. It is the responsibility of the referring party to obtain authorization. To avoid delay with Workers Compensation referrals, your referral authorization must specifically state approval to treat with Dr. Chris Chen. 

Please download and complete the appropriate form according to the type of referral:


Patient Referrals