Referring Patients

Adolescent Medicine

PHONE: 309-624-9680

Complete records are essential in determining the urgency of referrals. Please make every effort to have records sent to our office prior to the New Patient Appointment. Records to be sent include:

• Refer onlineorrefer by fax (PDF)
• Pertinent Physicians Notes
• Recent labs

We will notify you of the scheduled appointment within three days.

Pediatric Specialty Referral Grid

Allergy

PHONE: 309-308-2000

Complete records are essential in determining the urgency of referrals. Records to be sent include:

• Refer onlineorrefer by fax (PDF)
• Any office notes, labs, or X-rays that pertain to the referral
• Any past hospitalizations that pertain to the referral

Our office will fax back the referral form to the referring physician's office with the appointment date and time. We ask the referring physician to contact the patient to inform him or her of the appointment date and time.

Pediatric Specialty Referral Grid

Bleeding and Clotting Disorders

PHONE: 309-692-5337

Complete records are essential in determining the urgency of referrals. Please make every effort to have records sent to our office prior to the New Patient Appointment. Records to be sent include:

• Refer onlineorrefer by fax (PDF)
• Recent labs

A call will be made to referring physician and to patient with appointment time and date. A new patient packet will be mailed to the patient. Following the appointment, the doctor will call the referring physician with recommendations.

Pediatric Specialty Referral Grid

Cardiology/CV Surgery/Congenital Heart

PEORIA/BLOOMINGTON/URBANA/MOLINE/OTTAWA/SPRING VALLEY/SPRINGFIELD
PHONE: 800.443-9898

ROCKFORD/STERLING/SYCAMORE/FREEPORT
PHONE: 815-227-5600

Complete records are essential in determining the urgency of referrals. Please make every effort to have records sent to our office prior to the New Patient Appointment. Records to be sent include:

• Refer onlineorrefer by fax (PDF)
• Copy of Insurance Card
• All pertinent test results

Follow up to referring physician office includes a phone call and letter with appointment date and time.

Pediatric Specialty Referral Grid

Chairman's Clinic

PHONE: 309-624-9844

Complete records are essential in determining the urgency of referrals. Please make every effort to have records sent to our office prior to the New Patient Appointment. Records to be sent include:

• Refer onlineorrefer by fax (PDF)
• Physicians office visit notes
• Recent labs

A call will be made to referring physician and to patient with appointment time and date. A new patient packet will be mailed to the patient. Following the appointment, the doctor will call the referring physician with recommendations.

Pediatric Specialty Referral Grid

Congenital Diaphragmatic Hernia

PHONE: 309-655-3800

Complete records are essential in determining the urgency of referrals. Please make every effort to have records sent to our office prior to the New Patient Appointment. For new patients that have not had surgical intervention by Children's Hospital surgeons in the past 5 years, records to be sent should include:

• Refer onlineorrefer by fax (PDF)
• Medical/surgical history, including outpatient notes
• Labs, radiology reports
• Copies of films

CDH patients repaired by our surgeons at Children's Hospital will have a post-op appointment prior to CDH clinic. At that time, our office will arrange CDH follow-up.

Pediatric Specialty Referral Grid

Cystic Fibrosis

PHONE: 309-624-6565

Complete records are essential in determining the urgency of referrals. Please make every effort to have records sent to our office prior to the New Patient Appointment. Records to be sent include:

• Refer onlineorrefer by fax (PDF)
• Sweat Test results
• Any genetic testing results
• Growth Chart

A nurse will contact the referring physician by phone to confirm the appointment.

Pediatric Specialty Referral Grid

Developmental Pediatrics

PHONE: 309-681-6960

Complete records are essential in determining the urgency of referrals. Please make every effort to have records sent to our office prior to the New Patient Appointment. Records to be sent include:

• Refer onlineorrefer by fax (PDF)
• Growth Charts
• Developmental information i.e. developmental surveillance & screening
• MRI of brain (if done)

Follow-up to the referring physician office includes a phone call, letter at the time appointment is scheduled, and report mailed following the evaluation.

Other instructions: Please be specific about reason for referral. Specify what areas of delay you are concerned about. Please indicate if autism is a question, and we will assist you with the referral process.

Pediatric Specialty Referral Grid

Diabetes

PHONE: 309-624-2480

Complete records are essential in determining the urgency of referrals. Please make every effort to have records sent to our office prior to the New Patient Appointment. Records to be sent include:

• Refer onlineorrefer by fax (PDF)
• Labs and all pertinent test results done

Follow-up to referring physician office includes:

• Within 7-10 days of receiving the referral, our office will call with date and time of appointment. (We request that the referring physician office notify the parent of appointment date and time.)
• Following the appointment, our office will send office visit notes to the referring physician office.

Pediatric Specialty Referral Grid

Eating Disorders Program

PHONE: 309-655-2738

If you have an emergency or a patient who needs to be seen immediately due to medical or psychiatric instability, please call 911 or have the family take the patient to the emergency department. Complete records are essential in determining the urgency of referrals. Please make every effort to have records sent to our office prior to the patient appointment. Records to be sent include:

• Refer onlineorrefer by fax (PDF)
• Weight/Growth charts
• Any previous eating disorders or psychiatric treatment history

Our office will call the patient or his/her family to schedule an appointment. However, please be aware that if we leave a message we will be limited to a general Children’s Hospital message due to patient confidentiality. Once the appointment is scheduled, a packet will be mailed to the family with additional information and driving directions.

Pediatric Specialty Referral Grid

Endocrinology (non-Diabetes)

PHONE: 309-624-9844

Complete records are essential in determining the urgency of referrals. Please make every effort to have records sent to our office prior to the New Patient Appointment. Records to be sent include:

• Refer onlineorrefer by fax (PDF)
• Growth charts
• Physician office visit notes
• Pertinent labs

Our office will call the referring physician office with appointment date/time. Our office will mail new patient information forms and appointment card to the patient/family.

We request that the referring physician office also notify the family of the appointment date and time.

Pediatric Specialty Referral Grid

ENT (Otolaryngology)

PHONE: 309-655-4180

Complete records are essential in determining the urgency of referrals.Please make every effort to have records sent to our office prior to the New Patient Appointment. Records to be sent include:

• Refer onlineorrefer by fax (PDF)
• Dates of treatment
• Lab / x-ray results
• Name of responsible party to contact for appointment

Our office will fax information to the referring physician office regarding the appointment time we have given to the patient. Following the appointment, the referring physician will receive correspondence from our physician by mail.

Pediatric Specialty Referral Grid

Gastroenterology

PHONE: 309-624-9844

Complete records are essential in determining the urgency of referrals. Please make every effort to have records sent to our office prior to the New Patient Appointment. Records to be sent include:

• Refer onlineorrefer by fax (PDF)
• Growth chart
• All pertinent test results (Recommended for constipation - KUB for stool load, recommended for GERD - UGI to assess for malrotation and reflux)

A medical assistant or nurse will contact your office after the physician has reviewed the records. Your patient will be given the first available appointment and, if warranted, placed on a cancellation list to have the appointment moved up. Please expect a call within 3 days.

To expedite treatment, we may ask your office for additional tests to be ordered prior to the consultation appointment.

Pediatric Specialty Referral Grid

General Surgery

PEORIA/BLOOMINGTON/URBANA/MOLINE/OTTAWA/SPRINGFIELD
PHONE: 309-655-3800

Complete records are essential in determining the urgency of referrals. Please make every effort to have records sent to our office prior to the New Patient Appointment. For new patients that have not had surgical intervention by Children's Hospital surgeons in the past 5 years, records to be sent should include:

• Refer onlineorrefer by fax (PDF)
• Office notes/visit notes prompting referral
• Labs, radiology reports pertaining to referral
• Current medication list
• Medical/surgical history

A scheduling coordinator will contact your office within 1-2 business days to schedule an appointment.

Other Instructions: If possible, please send ahead or with family CD/film copies of any pertinent radiology exams.

Pediatric Specialty Referral Grid

Genetics

PHONE: 309-624-9680

FAX: 309-624-9524

Complete records are essential in determining the urgency of referrals. Please make every effort to have records sent to our office prior to the New Patient Appointment. Records to be sent include:

• Refer onlineorrefer by fax (PDF)
• Any genetic testing results
• Growth Chart
• Family History
• Pregnancy History

When the appointment is scheduled, the referring physician office will receive a fax with the appointment information. In addition, an appointment card, driving directions, and patient information form will be mailed to the patient.

Pediatric Specialty Referral Grid

Hematology / Oncology

PHONE: 309-624-4945

To schedule a Hematology consult at the The Jim and Trudy Maloof St. Jude Affiliate Clinic at OSF Children's Hospital, please call us weekdays 8am - 4:30pm. Complete records are essential in determining the urgency of referrals. Please make every effort to have records sent to our office prior to the New Patient Appointment. Records to be sent include:

• Refer onlineorrefer by fax (PDF)
• Copies of all relevant laboratory and imaging studies
• All pertinent medical records

Pediatric Specialty Referral Grid

Home Ventilation

PHONE: 309-655-2312

Complete records are essential in determining the urgency of referrals. Please make every effort to have records sent to our office prior to the New Patient Appointment. Records to be sent include:

• Refer onlineorrefer by fax (PDF)
• Pertinent Physician notes

Our office will call to notify your office of the time and date of the appointment.

Pediatric Specialty Referral Grid

Infectious Disease

PHONE: 309-624-9680

Complete records are essential in determining the urgency of referrals. Please make every effort to have records sent to our office prior to the New Patient Appointment. Records to be sent include:

• Refer onlineorrefer by fax (PDF)
• Any labs, x-rays, testing related to referral
• Pertinent Physician notes

We will contact your office by phone or will send a letter with our findings.

Pediatric Specialty Referral Grid

Nephrology

PHONE: 309-624-9844

Complete records are essential in determining the urgency of referrals. Please make every effort to have records sent to our office prior to the New Patient Appointment. Records to be sent include:

• Refer onlineorrefer by fax (PDF)
• Recent labs
• Medication list
• Any renal sonos/duplex/x-rays (if none, please note if one has been ordered)
• Pertinent Physician notes

After receiving the patient information and records, our office will call the referring physician office with an appointment date/time and name of doctor patient is scheduled to see. It usually takes 2-3 days from receipt of patient records. A packet of paperwork is mailed to the patient 2 weeks prior to the appointment. The packet includes: Forms to be completed, map to our office & a letter with appointment date & time.

Pediatric Specialty Referral Grid

Neurology/Epileptology

PHONE: 309-624-9844

Complete records are essential in determining the urgency of referrals. Please make every effort to have records sent to our office prior to the New Patient Appointment. Records to be sent include:

• Refer onlineorrefer by fax (PDF)
• Test results (CT's, EEG's, MRI's)
• Pertinent Physician notes
• ER reports pertaining to need for referral

All referrals are triaged prior to appointments being scheduled. Our office will contact the referring physician office by phone regarding the status of your referral.

Most patients being referred for seizures or seizure like activity will be required to have a completed sleep-deprived EEG preferably performed at OSF, if insurance permits.

Some diagnoses or EEG results may require MRI as well.

If referral is mandated due to and insurance change or transfer of care, all previous neurology records will be required.

Pediatric Specialty Referral Grid

Neuropsychology

PHONE: 309-624-9781

Complete records are essential in determining the urgency of referrals. Please make every effort to have records sent to our office prior to the New Patient Appointment. Records to be sent include:

• Refer onlineorrefer by fax (PDF)
• Recent labs
• List of specific medical diagnosis (ie. Seizure disorder, TBI, history of premature birth)

Our secretary will contact the family within one business day of receiving the referral to schedule an initial appointment.

Your office will receive a letter regarding the dates of the evaluation. A summary of the evaluation results and recommendations will follow within one week of the completed evaluation with a full report following at a later time.

Pediatric Specialty Referral Grid

Neurosurgery

PHONE: 877-464-6670

Complete records are essential in determining the urgency of referrals. Please make every effort to have records sent to our office prior to the New Patient Appointment. For new patients not repaired by Children's Hospital surgeons in the past 5 years, records to be sent should include:

• Refer onlineorrefer by fax (PDF)
• Radiographic Testing
• Referring physician notes with reason for referral and signs/symptoms/studies

Our office will contact the patient's family to be sure that correct instructions have been given.

A physician consult note will be sent to the referring physician once the patient is seen by the specialist.

Pediatric Specialty Referral Grid

Obesity/Weight Management

PHONE: 309-624-9844

Complete records are essential in determining the urgency of referrals. Please make every effort to have records sent to our office prior to the New Patient Appointment. Records to be sent include:

• Refer onlineorrefer by fax (PDF)
• Pertinent Physicians Notes
• Recent labs

We will notify you of the scheduled appointment within three days.

Pediatric Specialty Referral Grid

Ophthalmology

PHONE: 309-308-3500

Our pediatric ophthalmologists provide comprehensive eye care services to infants, children and adolescents.

Pediatric Specialty Referral Grid

Orthopedics

PHONE: 309-655-7668

Complete records are essential in determining the urgency of referrals. Please make every effort to have records sent to our office prior to the New Patient Appointment. Records to be sent include:

• Refer onlineorrefer by fax (PDF)
• Radiology results including CT scans, MRI's
• Therapy notes
• All pertinent lab results

Other Instructions: Please send CD or films of x-rays, CT scans, and MRI's done at facilities other than OSF hospitals.

Pediatric Specialty Referral Grid

Plastic Surgery

PHONE: 309-495-0250

Complete records are essential in determining the urgency of referrals. Please make every effort to have records sent to our office prior to the New Patient Appointment. Records to be sent include:

• Refer onlineorrefer by fax (PDF)
• Pertinent Physician notes
• Labs and all pertinent test results done
• Any pathology reports pertaining to referral

A letter from Illinois Plastic Surgery will be mailed back to the referring physician after the patient has been seen.

其他说明:请将面板中surance information so we know if referral is needed prior to patient arrival.

Pediatric Specialty Referral Grid

Psychiatry

PHONE: 309-681-6960

Complete records are essential in determining the urgency of referrals.Please make every effort to have records sent to our office prior to the New Patient Appointment. Records to be sent include:

• Refer onlineorrefer by fax (PDF)
• Whether or not the child is seeing a counselor

Pediatric Specialty Referral Grid

Psychology

PHONE: 309-683-7373

Complete records are essential in determining the urgency of referrals. Please make every effort to have records sent to our office prior to the New Patient Appointment. Records to be sent include:

• Refer onlineorrefer by fax (PDF)
• Reason for referral and any related history

我们的办公室将尽快联系家庭再保险ferral is received. A packet will then be mailed to the family which includes a reminder of the appointment date/time, name of doctor they will be seeing, map with directions, and a patient questionnaire.

Pediatric Specialty Referral Grid

Psychotherapy

PHONE: 309-683-7373

Complete records are essential in determining the urgency of referrals. Please make every effort to have records sent to our office prior to the New Patient Appointment. Records to be sent include:

• Refer onlineorrefer by fax (PDF)
• Reason for referral and any related history

我们的办公室将尽快联系家庭再保险ferral is received. A packet will then be mailed to the family which includes a reminder of the appointment date/time, name of doctor they will be seeing, map with directions, and a patient questionnaire.

Pediatric Specialty Referral Grid

Pulmonology

PHONE: 309-624-2277

Complete records are essential in determining the urgency of referrals. Please make every effort to have records sent to our office prior to the New Patient Appointment. Records to be sent include:

• Refer onlineorrefer by fax (PDF)
• Pertinent Physician notes

Pediatric Specialty Referral Grid

Child Abuse Pediatrics/Pediatric Resource Center (Mental Health)

PHONE: 309-624-9781

Complete records are essential in determining the urgency of referrals. Please make every effort to have records sent to our office prior to the New Patient Appointment. Records to be sent include:

• Refer onlineorrefer by fax (PDF)
• Any mental health information

Our secretary will contact the family within one business day of receiving the referral in order to schedule an intake appointment with our case coordinator.

一旦父母参加的摄入量,适当的再保险ferrals will be made. We will inform your office of the specifics of the referrals and any known appointment dates with mental health providers. We will provide ongoing communication through phone calls/letters regarding patients' attendance, participation and discharge information.

Pediatric Specialty Referral Grid

Sickle Cell

PHONE: 309-624-4945

To schedule a Sickle Cell consult at The Jim and Trudy Maloof St. Jude Affiliate Clinic at OSF Children's Hospital, please call us during regular business hours.

Complete records are essential in determining the urgency of referrals. Please make every effort to have records sent to our office prior to the New Patient Appointment. Records to be sent include:

• Refer onlineorrefer by fax (PDF)
• Newborn Screening Test results

To schedule a Sickle Cell Trait consult at the The Jim and Trudy Maloof St. Jude Affiliate Clinic, please call 309-624-4945, Monday-Friday, 8:00 a.m. to 4:30 p.m.

Pediatric Specialty Referral Grid

Spina Bifida Clinic

PHONE: 309-655-3800

Complete records are essential in determining the urgency of referrals. Please make every effort to have records sent to our office prior to the New Patient Appointment. Records to be sent should include:

• Refer onlineorrefer by fax (PDF)
• Pertinent Physician notes
• Any diagnostic testing

病人将被安排任命ment. The referring physician office will receive a fax with appointment information.

Pediatric Specialty Referral Grid

Urology

PHONE: 309-624-5100

Complete records are essential in determining the urgency of referrals. Please make every effort to have records sent to our office prior to the New Patient Appointment. Records to be sent include:

• Refer onlineorrefer by fax (PDF)
• Office visit notes
• Urological operative reports
• Any renal & bladder ultrasound, VCUG, and KUB reports
• All urinalysis and urine culture reports

病人将被安排任命ment. The referring physician office will receive a fax with appointment information.

Pediatric Specialty Referral Grid