Refer your patient to CTIS Pregnancy Risk Information Line

 

FAX a Referral Form to a Teratogen Information Specialist

Let CTIS Pregnancy Risk Information Line do the work! A Teratogen Information (TI) Specialist can contact your (California ONLY) patient for free, in strict confidence, over the phone about the pregnancy risks presented by drugs, medications, infectious diseases or other agents. Simply print the FAX Referral Form (download PDF file), fill-in the required information, have your patient consent to be contacted and then, fax the form to the CTIS main office. This procedure is currently being used by California Obstetricians, Nurse-Midwives, Public Health Nurses (PHNs), most San Diego WIC sites, and Planned Parenthood Prenatal Clinics in San Diego and is effective in getting the education to pregnant women. Additionally, a written summary letter of the current known information about her exposures can be sent to her. In turn, your patient can provide a copy of this letter to you at her first or subsequent visit which can be included in her medical file, or she can sign the consent form to have a copy of her letter sent to you.

Refer your patient to CTIS

Simply instruct your patient to contact CTIS immediately after they have set their first appointment with your office. The toll-free number is 1-800-532-3749. Having them call allows CTIS to do an “exposure check-up” and provide them educational information before they see their provider. Thus, by the time of their visit to your office your patient has had the opportunity to be educated about her exposure, and her fears or misconceptions can be addressed. A written summary letter of the current known information about her exposures can be sent to her. In turn, your patient can provide a copy of this letter to you at her first or subsequent visit which can be included in her medical file.

Provide your patient with a CTIS Pregnancy Risk Information Line Brochure. For brochure requests, please email CTISPregnancyRiskInformationLine@ucsd.edu.

CTIS Pregnancy Follow-up Program

CTIS also has a Pregnancy Follow-up Program. Pregnant women are encouraged to participate in this confidential program throughout their pregnancies, and post-partum. This allows CTIS to collect valuable data that adds to the current body of scientific information concerning potential teratogens. Free specialized pediatric examinations are available for infants/babies of women participating in CTIS’ follow-up program. Also, free developmental testing may be offered for the children when he/she reaches school age.

Teratogen Information Specialists (bilingual in English, Spanish or Tagalog) are available weekdays from 9:00 A.M. to 5:00 P.M. to answer questions from
pregnant women, women preparing for pregnancy, and health care providers. Once again, the toll-free patient referral line is 1-800-532-3749.

BREASTFEEDING INQUIRIES

For breastfeeding questions, call our consultant Dr. Philip O. Anderson, UCSD Drug Information Service, at (619) 543-6971. Or, visit LactMed web.

 

 

 

 

For questions, comments, or suggestions please call 800-532-3749 (within California only). Or, email CTISPregnancyRiskInformationLine@ucsd.edu

California residents can expedite a call from a Teratogen Information Service (TIS) Specialist CLICK HERE