Who Qualifies?
Any Alliance member with an oncologic or hematologic diagnoses and directly assigned to an Alliance primary care provider (PCP).
How do I refer an Alliance member who qualifies?
Alliance directly contracted providers may refer Alliance members to one of the Stanford Cancer Network Program cancer specialists by completing an online referral or the referral form. In accordance with the Alliance referral policy, care initiated by a listed provider will not require prior authorization (PA). Consultations with any Stanford Cancer Network Program subspecialists will be coordinated by Stanford clinical administration.
Online Referral Instructions
-
Log into the Stanford Referring Provider Portal – PRISM at stanfordhealthcare.org.
-
Select your patient and complete the referral information.
-
Attach any relevant records.
You can log back into the portal to see the status of your referral at any time.
Referral Form
-
Complete the Stanford Cancer Center Referral Request Form.
-
Fax the completed referral form to the fax number for one of the specific providers, listed in the Stanford Cancer Program Specialists section below.
Stanford Cancer Program Specialists
Breast Oncology Surgery
Emeryville and Pleasanton |
||
PROVIDER NAME |
PHONE NUMBER |
FAX NUMBER |
Dr. Daphne Ly |
1.650.498.6004 |
1.650.498.7237 |
Dr. Jean Bao |
General Medical Oncology and Hematology
Pleasanton |
||
PROVIDER NAME |
PHONE NUMBER |
FAX NUMBER |
Dr. Rishi Sawhney |
1.925.734.8130 |
1.925.225.9520 |
Dr. Kavitha Raj |
Castro Valley |
||
PROVIDER NAME |
PHONE NUMBER |
FAX NUMBER |
Dr. Nitin Joshi |
1.510.888.0657 |
1.510.886.4532 |
Emeryville |
||
PROVIDER NAME |
PHONE NUMBER |
FAX NUMBER |
Dr. Ellen Chuang |
1.510.901.3552 |
1.510.806.2557 |
Dr. Anjali Sibley |