How to get a referral for medical services

Whether you are a current patient of the Ventura County Medical System or looking to connect to a specialist within our network, you should first talk to your primary care provider. Depending on your insurance and type of service, you may need a referral.

Step 1: Consultation with Your Primary Care Provider (PCP):

  • Schedule an appointment with your primary care provider (PCP) to discuss your health concern. During this consultation:
    • Describe your symptoms and medical history in detail. 
    • Express your interest in seeking specialized care. 

Step 2: Evaluation and Recommendation:

  • Your PCP will assess your condition and determine if specialty care is necessary. They may:
    • Conduct tests or exams to gather additional information. 
    • Provide recommendations based on your medical needs. 

Step 3: Request for Referral:

  • If your PCP feels specialty care is appropriate, they will initiate the referral process by:
    • Requesting a referral for the specific specialty or specialist. 
    • Discussing the reasons for the referral with you. 

Step 4: Authorization and Coordination:

Once your PCP generates the referral, coordination with the Specialist’s office begins.

Step 5: Contacting the Specialist:

  • Expect a call from the specialist’s office where you will then:
    • Schedule an appointment based on your availability. 
    • Confirm any pre-visit requirements, such as medical records or tests. 

Step 6: Specialist Consultation:

  • Attend your specialist appointment.
  • Discuss your medical history and current concerns. 
  • Participate in any required tests or evaluations. 

Step 7: Treatment Plan and Follow-up: The specialist will:

  • Develop a personalized treatment plan for your condition. 
  • Communicate the plan to you and your PCP. 

Step 8: Feedback to Your PCP:

  • After your specialist consultation, report back to your PCP:
    • Share information about your visit and treatment plan. 
    • Keep your PCP informed about your progress. 

Step 9: Ongoing Communication:

  • Maintain open communication with both your PCP and specialist:
    • Keep them updated on your health and treatment outcomes. 
    • Address any concerns or questions promptly.

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