OSF Childrens Hospital

Referring Patients

We have more than 140 pediatric subspecialists, from cystic fibrosis and diabetes to our congenital cardiologists pediatric surgeons...and many more. If you wish to refer a patient to one of our pediatric specialists, please select the appropriate category below for detailed information.

Physician Access Line

Our Physicians Access Line Service (PALS), is available to connect you with our subspecialty physicians 24/7. When you call the PALS line, one of our staff members will connect you by phone to the appropriate subspecialist.
 
If you have an emergency or a patient who needs to be seen immediately, please call the PALS line directly at:

Toll-free: 1-800-231-7257
Local: 1-309-655-7257

Make a Referral

 

* indicates a required field.

Adolescent Medicine

FAX FORM TO: 309-624-9757
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 faxed include:

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

Allergy

FAX FORM TO: 309-308-2009
PHONE: 309-308-2000

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

  • Complete Specialty Request Form
  • 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.

Bleeding and Clotting Disorders

FAX FORM TO: 309-693-3913
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 faxed include:

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.

Cardiology/Congenital Heart

Peoria

FAX FORM TO: 309-655-3410
PHONE: 800.443-9898

Rockford

FAX FORM TO: 815-227-9242
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 faxed include:

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

Chairman's Clinic

FAX FORM TO: 309-624-8884
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 faxed include:

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.

Congenital Diaphragmatic Hernia

FAX FORM TO: 309-655-3948
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 faxed should include:

  • Complete Specialty Request Form
  • 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.

CV Surgery/Congenital Heart Center

FAX FORM TO: 309-655-3410
PHONE: 309-655-3453

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 faxed include:

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

Cystic Fibrosis

FAX FORM TO: 309-624-5567
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 faxed include:

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

Developmental Pediatrics

FAX FORM TO: 309-681-6965
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 faxed include:

  • Complete Specialty Request Form
  • 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.

Diabetes

FAX FORM TO: 309-624-2481
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 faxed include:

Follow-up to referring physician office includes:

  • Within 7-10 days of receiving the faxed 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.

Eating Disorders Program

FAX FORM TO: 309-655-7392
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 faxed include:

  • Complete Specialty Request Form
  • 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.

Endocrinology (non-Diabetes)

FAX FORM TO: 309-624-8884
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 faxed include:

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.

ENT (Otolaryngology)

FAX FORM TO: 309-655-3948
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 faxed include:

  • Complete Specialty Request Form
  • 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.

Gastroenterology

FAX FORM TO: 309-624-8884
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 faxed include:

  • Complete Specialty Request Form
  • 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.

Genetics

FAX FORM TO: 309-624-8884
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 faxed include:

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.

Hematology / Oncology

FAX FORM TO: 309-624-9848
PHONE: 309-624-4945

To schedule a Hematology consult at the St. Jude Midwest Affiliate Clinic, 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 faxed include:

 

  • Complete Specialty Request Form
  • Copies of all relevant laboratory and imaging studies
  • All pertinent medical records

Home Ventilation

FAX FORM TO: 309-655-4154
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 faxed include:

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

Infectious Disease

FAX FORM TO: 309-624-7778
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 faxed include:

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

Nephrology

FAX FORM TO: 309-624-8884
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 faxed include:

  • Complete Specialty Request Form
  • 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.

Neurology/Epileptology

FAX FORM TO: 309-624-8884
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 faxed include:

  • Complete Specialty Request Form
  • 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.

Neuropsychology

FAX FORM TO: 309-624-9733
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 faxed include:

  • Complete Specialty Request Form
  • 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.

Neurosurgery

FAX FORM TO: 877-464-6806
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 faxed should include:

  • Complete Specialty Request Form
  • 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.

Obesity/Weight Management

FAX FORM TO: 309-624-8884
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 faxed include:

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

Ophthalmology

FAX: 309-243-7936
PHONE: 309-243-2400 ext. 2740

The Pediatric Ophthalmologists at Illinois Eye Center provide comprehensive eye care services to infants, children and adolescents.

Orthopedics

FAX FORM TO: 309-655-3948
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 faxed include:

  • Complete Specialty Request Form
  • 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.

General Surgery

FAX FORM TO: 309-655-3948
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 faxed should include:

  • Complete Specialty Request Form
  • 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.

Plastic Surgery

FAX FORM TO: 309-495-0276
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 faxed include:

  • Complete Specialty Request Form
  • 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.

Other Instructions: Please send face sheet with insurance information so we know if referral is needed prior to patient arrival.

Psychiatry

FAX FORM TO: 309-681-6965
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 faxed include:

Psychology

FAX FORM TO: 309-691-4408
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 faxed include:

Our office will contact the family as soon as a referral 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.

Psychotherapy

FAX FORM TO: 309-691-4408
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 faxed include:

Our office will contact the family as soon as a referral 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.

Pulmonology

FAX FORM TO: 309-655-4154
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 faxed include:

Sickle Cell

FAX FORM TO: 309-624-9848
PHONE: 309-624-4945

To schedule a Sickle Cell consult at the St. Jude Midwest Affiliate Clinic, 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 faxed include:

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

Spina Bifida Clinic

FAX FORM TO: 309-624-5569
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 faxed should include:

The patient will be called to schedule the appointment. The referring physician office will receive a fax with appointment information.

Urology

FAX FORM TO: 309-624-5569
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 faxed include:

  • Complete Specialty Request Form
  • Office visit notes
  • Urological operative reports
  • Any renal & bladder ultrasound, VCUG, and KUB reports
  • All urinalysis and urine culture reports

The patient will be called to schedule the appointment. The referring physician office will receive a fax with appointment information.