Mariaelena colon

Hi, you are my primary have been since I were born and I am now 22 I was born with a heart defect and for the past few years have been waiting for a referral to be accepted form sacramento heart well it’s been about 2 years now since I’ve asked for a referral to be sent and it wasn’t accepted so I kind of gave up on trying I’m continuously having pains the same I’ve had all my life and it’s getting worse my breathing etc I’d just like to know if I can contact sacramento heart myself and try get in or will I have to wait for a referral to be sent and accepted I really need an appointment