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Riverside Community Hospital
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New Referrals

The transplant team at Riverside Community Hospital would like to thank you for your interest in our transplant program. We provide excellent, comprehensive care to our patients and look forward to work with your patient through the transplant process.

Call the RCH Transplant Center at (951) 684-1415 to schedule an appointment.

At the bottom of this page we have provided a list of Physician Required Records and a link to our new patient referral form. Please fill the referral form and fax it and the Physician Required Records to our Transplant Center at (951) 788-6107.

As soon as we have confirmed your referral is complete and we have verified the patient's insurance coverage, we will schedule the patient for a transplant evaluation.

We greatly appreciate your confidence in referring your patient to Riverside Community Hospital. Please feel free to call the RCH Transplant Center staff if you have any further questions at (951) 684-1415.

Physician Required Records

  • Face Sheet
  • Copy of Insurance Cards
  • A Completed 2728 form
  • Current History and Physical
  • Social Worker Evaluation
  • Current Labs

Referral Forms

Download our Referral Forms

Download Referral Form PDF