Appointment and Clinic Information

Hours of Operation

• Monday through Friday: 8 am to 5 pm
• Saturday and Sunday: Closed (except to registered class participants)

Payment Information

We accept cash, check, or credit cards for all services provided. All services are eligible for use with Healthcare Savings Accounts and Healthcare Reimbursement Accounts.

Insurance Coverage

You are required to have a referral to be seen, even if you have a PPO. The Osher Center clinic accepts insurance coverage for services. It is important that patients review their insurance plan benefits carefully to determine if their plan pays for the service(s) that will be received at the Center. Some insurance plans require pre-treatment authorizations for certain services. There may also be frequency limitations to the number of visits approved for a particular service. If this is the case, patients are expected to obtain prior approval from their insurance carrier and provide a copy of the authorization for treatment to the Osher Center clinic staff. If the plan does not cover a specific service, patients are expected to pay for the service provided. There is a 40% UCSF discount for cash payment for services.

Referral requirements

• Referral
• Insurance card
• Prior authorization (if needed)
• Face sheet/demographics sheet
• Medical records 

Osher Center CPT Codes

• 99205-PR OFFICE/OUTPATIENT NEW HIGH MDM 60-74 MINUTES
• 99215-PR OFFICE/OUTPATIENT ESTABLISHED HIGH MDM 40-54 MIN
• 99214-PR OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30-39 MIN
• 99213-PR OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20-29 MIN
• 90792-PR PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERVICES
• 90836-PR PSYCHOTHERAPY W/PATIENT W/E&M SRVCS 45 MIN
• 90901- PR BIOFEEDBACK TRAINING,ANY MODALITY
• 97810-PR ACUPUNCT W/O ELEC STIMUL 15 MIN
• 97811-PR ACUPUNCT W/O ELEC STIMUL ADDL 15M
• 90791-PR PSYCHIATRIC DIAGNOSTIC EVALUATION
• 90834-PR PSYCHOTHERAPY W/PATIENT 45 MINUTES
• 90853-PR GROUP PSYCHOTHERAPY
• 90791 -- PR PSYCHIATRIC DIAGNOSTIC EVALUATION 

New patients must complete the form and return it to our office no later than one week before their first appointment.

Email: [email protected] | Fax: 415-353-7358 | Phone: 415-353-7700 

Adult New Integrative Health Consultation Form

• Fill and save: PDF, Word (English)
• Form available in Spanish, Russian, Traditional Chinese, and Simplified Chinese

Pediatric New Integrative Health Consultation Form

• Fill and save: PDF, Word 

Avoid filling out the intake forms via MyChart or Email “Preview” due to progress saving issues. To avoid progress being erased we recommend using Adobe Acrobat or a web browser to fill out the PDF. Try filling out the Name field first, and then save/download the file. Once saved to your computer, close out the online file and then reopen the downloaded file to see if the progress saved your name correctly.

Patient Responsibilities

As a patient at UCSF Medical Center, you also have the following responsibilities:

• To follow UCSF’s rules, regulations and policies affecting patient care and conduct.
• To be considerate of UCSF facilities and equipment and to use them in such a manner so as not to abuse them.
• To respect the rights and property of other patients and UCSF personnel. Just as you want privacy, a quiet atmosphere and courteous treatment, so do other patients. You have the responsibility to honor UCSF’s right to restrict visitors as noted above, comply with UCSF’s policies prohibiting smoking and use of illicit or non-prescribed drugs or alcohol, and to use the telephone, television and lights courteously so that you do not disturb others.
• To conduct yourself in a respectful manner in communications and interactions with UCSF staff, patients and visitors. This includes refraining from inappropriate, discriminatory, harassing or abusive language and behavior.
• To report, to the best of your knowledge, accurate and complete information regarding any matters pertaining to your health to the physicians and other health care professionals who care for you.
• To be informed and to ask questions by making an effort to understand your health care needs and by asking your health care provider for information relating to your treatment. Your health care provider may not know when you are confused or uncertain or just want more information. If you don’t understand the medical words they use, ask for a simpler explanation.
• To recognize that as a teaching institution, UCSF has a commitment to the education of future health care professionals. Patients receiving care at UCSF are a part of this process.
• To cooperate with the members of UCSF’s health care team who provide care to you.
• To follow the treatment plan recommended by the health care provider responsible for your care. This includes following the instructions of the other health team members, such as nurses and physical therapists, as they carry out the coordinated plan of care. It is your responsibility to tell your health care provider whether or not you can and want to follow the treatment plan recommended for you. The most effective plan is one in which all participants agree is best and which is carried out exactly.
• To understand how to continue your care after you leave UCSF, including when and where to get further treatment and what you need to do at home to help with your treatment.
• To accept the consequences of your own decisions and actions if you choose to refuse treatment or not to comply with the instructions given by your health care provider.
• To keep appointments and cooperate with your health care provider. If you need to cancel an appointment, you should do so at least 24 hours before your appointment time or within the time frame required by your health care provider.
• To pay bills promptly to ensure that your financial obligations for your health care are fulfilled. Late payments increase overall charges. You are responsible for working with your account representative to make payment arrangements and providing the information necessary to determine how your hospital bill will be paid.
• To provide UCSF with a copy of your Advance Health Care Directive if you have one.

Patient Rights

At UCSF, we respect the confidentiality of our patients, colleagues, and visitors. We recognize that each patient has unique health care needs and we encourage partnership between the patient and the health care team. We encourage patients or their legally designated representative to participate in discussions and decisions about their treatments, options, alternatives, risks, and benefits. Below are links to your rights as a patient, provided in English, Chinese, Russian and Spanish:

• English
• Chinese
• Russian
• Spanish

Patient Privacy

We are committed to protecting your medical information. For information about your rights and the obligations we have regarding the use and disclosure of your medical information, please see UCSF’s Patient Privacy Rights.