Cost Center 265
12
2
Three letterhead possibilities. For Pediatric Dermatology use CC265PED. For Birthmark and
Vascular Anomalies Center use CC265BV (see sample following instructions and provider list).
For all others use CC265.
Letterhead normal: CC265
DEPARTMENT OF DERMATOLOGY
1701 Divisadero Street
Box 0316
San Francisco, California 94143-0316
Tel: (415) 353-7800 Fax: (415) 353-7870
Possible subheadings, bold+center+underline:
PIGMENTED LESION CLINIC
PEDIATRIC DERMATOLOGY
Dictating physicians:
TIMOTHY BERGER, M.D.
CLINICAL PROFESSOR, DERMATOLOGY
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
DEPARTMENT OF DERMATOLOGY
M. KARI CONNOLLY, M.D.
DIRECTOR, AUTOIMMUNE CLINIC
PROFESSOR OF DERMATOLOGY AND MEDICINE
UCSF BOX 0316
SAN FRANCISCO, CALIFORNIA 94143-0316
KELLY M. CORDORO, M.D.
ASSISTANT PROFESSOR OF
CLINICAL DERMATOLOGY AND PEDIATRICS
CHRISTOPHER DANNAKER, D.O.
PATRICIA G. ENGASSER, M.D.
RUBY GHADIALLY, M.D.
LINDY P. FOX, M.D.
ASSISTANT PROFESSOR OF CLINICAL DERMATOLOGY
ROY C. GREKIN, M.D.
CLINICAL PROFESSOR
CO-DIRECTOR, DERMATOLOGIC SURGERY
Confidential Property of Acusis

INSTRUCTIONS - CC265 (continued)
JOHN KOO, M.D.
DIRECTOR, PSORIASIS TREATMENT CENTER
PROFESSOR AND VICE CHAIRMAN, DEPARTMENT OF DERMATOLOGY
UCSF MEDICAL CENTER
BOARD CERTIFIED IN PSYCHIATRY AND DERMATOLOGY
PUI-YAN KWOK, M.D., Ph.D.
KIERON S. LESLIE, M.D.
ASSISTANT CLINICAL PROFESSOR IN DERMATOLOGY
JULIE LETSINGER, M.D.
CLINICAL INSTRUCTOR IN DERMATOLOGY
HOWARD I. MAIBACH, M.D.
PROFESSOR
ERIN MATHES, M.D.
ASSISTANT CLINICAL PROFESSOR OF
DERMATOLOGY AND PEDIATRICS
TOBY A. MAURER, M.D.
THEODORA MAURO, M.D.
ASSOCIATE PROFESSOR IN RESIDENCE
DEPARTMENT OF DERMATOLOGY
UCSF MEDICAL CENTER
ISAAC M. NEUHAUS, M.D.
ASSISTANT PROFESSOR OF CLINICAL DERMATOLOGY
VERA H. PRICE, M.D.
PROFESSOR OF CLINICAL DERMATOLOGY
JACK S. RESNECK, JR., M.D.
ASSISTANT PROFESSOR OF DERMATOLOGY AND HEALTH POLICY
FACULTY PRACTICE DIRECTOR
DERMATOLOGY RESIDENCY DIRECTORY
Confidential Property of Acusis

INSTRUCTIONS - CC265 (continued)
MATTHIAS SCHMUTH, M.D.
KANADE SHINKAI, M.D.
ASSISTANT CLINICAL PROFESSOR OF DERMATOLOGY
JEFFREY LOUIS SUGARMAN, M.D.
ASSISTANT CLINICAL PROFESSOR
SURAJ S. VENNA, M.D.
KEVIN WANG, M.D.
MARIA WEI, M.D., Ph.D.
ASSISTANT CLINICAL PROFESSOR
MARY L. WILLIAMS, M.D.
ADJUNCT PROFESSOR OF PEDIATRICS AND DERMATOLOGY
BRUCE U. WINTROUB, M.D.
PROFESSOR AND CHAIR, DEPARTMENT OF DERMATOLOGY
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
DEPARTMENT OF DERMATOLOGY
SIEGRID S. YU, M.D.
ASSISTANT PROFESSOR OF CLINICAL DERMATOLOGY
DERMATOLOGIC SURGERY AND LASER CENTER
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
LEE ZANE, M.D.
ASSISTANT PROFESSOR OF CLINICAL DERMATOLOGY
DIRECTOR, ACNE SPECIALTY PRACTICE
SHEILAGH MAGUINESS, M.D. Fellow with attending status - may dictate for others
Resident:
Jeffrey Cheng, M.D. Needs attending signature
Confidential Property of Acusis

INSTRUCTIONS - CC265 (continued)
PEDIATRIC DERMATOLOGY
Letterhead normal: CC265PED
DEPARTMENT OF DERMATOLOGY
1701 Divisadero Street
Box 0316
San Francisco, California 94143-0316
Appointments: (415) 353-7800 Fax: (415) 353-7478
PEDIATRIC DERMATOLOGY
AMY E. GILLIAM, M.D.
ASSISTANT CLINICAL PROFESSOR
PEDIATRICS AND DERMATOLOGY
RENEE M. HOWARD, M.D. also works at Parnassus cost center 762
ASSISTANT CLINICAL PROFESSOR
DERMATOLOGY AND PEDIATRICS
ILONA J. FRIEDEN, M.D.
PROFESSOR OF CLINICAL DERMATOLOGY AND PEDIATRICS
( Dr. Frieden can either be with Pediatric Dermatology or the Birthmark and Vascular Anomalies
Center.)
Fellow:
Dawn Siegel, M.D.
Birthmark and Vascular Anomalies Center:
Normal titled CC265BV, including letterhead, text and signature block.
Sample follows provider listings.
Insert the inside address, addressee’s name in salutation, and date of service in first paragraph.
Insert dictated information as appropriate after paragraph headings. Delete any unused headings.
Confidential Property of Acusis

INSTRUCTIONS - 265 (continued)
Though Dr. Frieden will rarely dictate (usually residents) she will always be the signatory. This clinic is held monthly – otherwise, the patients are seen in regular Pediatric Dermatology Clinic.
Carbon copies need to be sent on every note to the patient/patient’s family, Dr. Christopher
Dowd (Radiology – UCSF Box 0628) and Dr. William Hoffman (Plastic Surgery – UCSF Box
0 932). Send other cc’s as dictated.
Also associated with BVAC:
LOUISE CROTWELL, RN
NURSE COORDINATOR
CHRISTOPHER F. DOWD, M.D., F.A.C.R.
ASSOCIATE DIRECTOR
PROFESSOR
RADIOLOGY, NEUROLOGICAL SURGERY
NEUROLOGY AND ANESTHESIA
AMY E. GILLIAM, M.D.
ASSISTANT CLINICAL PROFESSOR
DERMATOLOGY AND PEDIATRICS
WILLIAM Y. HOFFMAN, M.D., F.A.C.S., F.A.A.P.
PROFESSOR OF CLINICAL SURGERY
CHIEF, DIVISION OF PLASTIC SURGERY
MARION KOERPER, M.D.
CLINICAL PROFESSOR
PEDIATRICS AND HEMATOLOGY/ONCOLOGY
MAHESH H. MANKANI, M.D., F.A.C.S.
ASSISTANT PROFESSOR
PLASTIC SURGERY
ISAAC M. NEUHAUS, M.D.
ASSISTANT PROFESSOR
DERMATOLOGIC AND LASER SURGERY
KRISTINA ROSBE, M.D., F.A.C.S., F.A.A.P.
ASSISTANT PROFESSOR
OTOLARYNGOLOGY AND PEDIATRICS
Confidential Property of Acusis

INSTRUCTIONS - CC265 (continued)
BIRTHMARK AND VASCULAR ANOMALIES CENTER
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
1701 Divisadero Street, Third Floor
San Francisco, CA 94143-0316
Appointments: 415-353-7823 Fax: 415-353-7478
Website: www.bvac.ucsf.edu
RE:
U#
DATE OF SERVICE:
DATE OF BIRTH:
Dear Dr __________:
We had the pleasure of seeing this patient in the University of California San Francisco
Birthmark and Vascular Anomalies Center on __________. The attending physicians present at this evaluation and conference were the following: Ilona Frieden, Christopher Dowd, Amy
Gilliam, William Hoffman, Mahesh Mankani, Kristina Rosbe, Marion Koerper and Isaac
Neuhaus. They represent the following specialties and subspecialists: Pediatric Dermatology,
Dermatologic and Laser Surgery, Plastic Surgery (including both pediatric and hand specialists),
Neurointerventional Radiology, Hematology/Oncology, and Otolaryngology.
PAST MEDICAL HISTORY:
CURRENT MEDICATIONS:
SOCIAL HISTORY:
REVIEW OF SYSTEMS:
ALLERGIES:
PHYSICAL EXAMINATION:
LABORATORY/OTHER TESTS INCLUDING IMAGING:
ASSESMENT AND PLAN:
Thank you for the referral of this patient. We hope this information is helpful and would be happy to answer any questions regarding this patient as they arise.
(Dr Freiden signature block)
Confidential Property of Acusis